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Organization

DERMATOLOGY PROFESSIONALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAUDIA TAYLOR (MEMBER/OWNER)
(503) 344-6643
Entity
Organization

Contact information

Practice address
2228 LLOYD CTR, SUITE 0H303, PORTLAND, OR 97232-1311
(503) 344-6643
(503) 296-2887
Mailing address
PO BOX 28150, PORTLAND, OR 97228-8150
(503) 344-6643
(503) 296-2887

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/14/2010
Last updated
03/20/2012
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