Organization
KNOTT STREET DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC LEIF HANSON MD (PRESIDENT)
(503) 253-3910
Entity
Organization
Contact information
Practice address
301 NE KNOTT ST, PORTLAND, OR 97212-3014
(503) 253-2675
(503) 253-4297
Mailing address
301 NE KNOTT ST, PORTLAND, OR 97212-3014
(503) 253-2675
(503) 253-4297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD26393
OR
Other
Enumeration date
05/25/2006
Last updated
08/13/2014
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