NPI 1013918978

Bert G Tavelli, MD

Practitioner Dermatology Physician Portland, OR

Practice location

Address: 2525 NW Lovejoy St STE 400, Portland, OR 97210-2865
Phone: (503) 223-1933
Fax: (503) 223-1947

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD 14681 (OR)

Other Dermatology providers in Oregon →

Registry record

NPI: 1013918978
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2005
Record last updated: 7 Mar 2023

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.