NPI 1679852396
NW Dermatology and Research Center, LLC
Practice location
- Address
- 2525 NW Lovejoy St STE 400, Portland, OR 97210-2865
- Phone
- (503) 223-1933
Authorised official
- Name
- Nisha Shah Desai
- Title
- Owner
- Phone
- (503) 223-1933
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1679852396
- Entity type
- Organization
- NPI issued
- 11 Aug 2011
- Record last updated
- 8 May 2020
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.