Organization
CLACKAMAS DERMATOLOGY PC
Active
Other names
Goodskin Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JEFFERY ANDERUD D.O. (OWNER/CEO)
(503) 654-7546
Entity
Organization
Contact information
Practice address
12605 SE 97TH AVE, CLACKAMAS, OR 97015-9706
(503) 654-7546
(503) 786-3542
Mailing address
12605 SE 97TH AVE, CLACKAMAS, OR 97015-9706
(503) 654-7546
(503) 786-3542
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO157838
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500702253
—
OR
Enumeration date
05/08/2013
Last updated
05/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us