CENTER FOR DERMATOLOGY AND LASER SURGERY PC (NPI# 1578746368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578746368 |
| Entity Type | Organization |
| Organization Name | CENTER FOR DERMATOLOGY AND LASER SURGERY PC |
| Practice Address |
9427 Sw Barnes Rd Suite 495 Portland OR 97225-6652 |
| Practice Telephone | 5032973440 |
| Mailing Telephone | 5032973440 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | BEATA RYDZIK (OWNER PRACTICING PROVIDER) |
| Authorized Official Telephone | 5032973440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| Street Address |
9427 SW BARNES RD SUITE 495 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851363 | Bernard A Gasch | Dermatology | 9427 Sw Barnes Rd, Suite 495, Portland, OR 97225-6652 | 2005-06-16 |
| 1316473564 | Providence | General Acute Care Hospital | 9427 Sw Barnes Rd, Sutie 295, Portland, OR 97225 | 2017-05-10 |
| 1316318124 | Jun-nicole Matsushita | Doula | 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 | 2015-10-20 |
| 1457759318 | Providence Health & Services - Oregon | Pediatrics | 9427 Sw Barnes Rd, Ste 395, Portland, OR 97225-6652 | 2014-12-09 |
| 1912324963 | Transitional Care Alliance | Nurse Practitioner | 9427 Sw Barnes Rd, Portland, OR 97225-6652 | 2014-03-27 |
| 1760818447 | Meegan Marie Mangum | Physician Assistant | 9427 Sw Barnes Rd, Suite 498, Portland, OR 97225-6652 | 2013-09-25 |
| 1083059778 | Providence Health & Services - Oregon | Obstetrics & Gynecology | 9427 Sw Barnes Rd, Suite 599, Portland, OR 97225-6652 | 2013-05-08 |
| 1912341108 | Emmanuel Rey Ariola | Registered Nurse | 9427 Sw Barnes Rd, Suite 495, Portland, OR 97225-6652 | 2013-04-18 |
| 1023359213 | Cheri Lynn Belling | Nurse Practitioner | 9427 Sw Barnes Rd, Suite 595, Portland, OR 97225-6652 | 2013-03-13 |
| 1639436074 | Alison Christy | Psychiatry & Neurology | 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073962551 | Reed Dermatology Nw, LLC | Dermatology | 9555 Sw Barnes Rd Ste 275, Portland, OR 97225-6680 | 2016-06-06 |
| 1114078763 | Janet L. Roberts | Dermatology | 2525 Nw Lovejoy St Ste 400, Portland, OR 97210-2865 | 2007-01-12 |
| 1740259035 | Eric L Hanson | Dermatology | 301 Ne Knott St, Portland, OR 97212-3014 | 2006-03-17 |
| 1801849849 | Allergy Asthma & Dermatology Associates PC | Dermatology | 233 Nw 16th Ave, Portland, OR 97209-2630 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962683839 | Hood River Dermatology, Inc | Dermatology | 917 11th St, Hood River, OR 97031-1578 | 2007-11-20 |
| 1598862542 | Luke B Sloan | Dermatology | 917 11th St, Hood River, OR 97031-1578 | 2006-09-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.