NPI 1174697239

Epiphany Dermatology of Oregon, LLC

Organisation Dermatology Physician Portland, OR

Practice location

Address: 2222 NW Lovejoy St Suite 422, Portland, OR 97210-3033
Phone: (503) 227-7117
Fax: (503) 227-7120
Mailing address: 7300 Ranch Road 2222, Bldg 1, STE 200, Austin, TX 78730-3255

Authorised official

Name: Gheorghe Pusta
Title: Secretary
Phone: (512) 628-0465

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Oregon →

Registry record

NPI: 1174697239
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 21 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.