Dustin Ray Portela (NPI# 1588002547, PAC ID# 2961771225) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1588002547 |
| PAC ID by PECOS | 2961771225 |
| Professional Enrollment ID | I20170630000940 |
| Full Name | Dustin Ray Portela |
| Organization Legal Name | TREASURE VALLEY DERMATOLOGY AND SKIN CANCER CENTER, PLLC |
| Address |
6051 N Eagle Rd Boise ID 83713-0997 |
| Phone Number | 2085194333 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8628330552 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6051 N Eagle Rd, Boise, ID 83713-0997 | 2085194333 | TREASURE VALLEY DERMATOLOGY AND SKIN CANCER CENTER, PLLC |
| Organization Legal Name | TREASURE VALLEY DERMATOLOGY AND SKIN CANCER CENTER, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariya R Ostermiller | Physician Assistant | Treasure Valley Dermatology and Skin Cancer Center, Pllc | 6051 N Eagle Rd, Boise, ID 83713-0997 |
| Ryan J Harris | Dermatology | Treasure Valley Dermatology and Skin Cancer Center, Pllc | 6051 N Eagle Rd, Boise, ID 83713-0997 |
| Street Address |
6051 N EAGLE RD |
| City | BOISE |
| State | ID |
| Zip | 83713-0997 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariya R Ostermiller | Physician Assistant | Treasure Valley Dermatology and Skin Cancer Center, Pllc | 6051 N Eagle Rd, Boise, ID 83713-0997 |
| Ryan J Harris | Dermatology | Treasure Valley Dermatology and Skin Cancer Center, Pllc | 6051 N Eagle Rd, Boise, ID 83713-0997 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kory L Kreusel | Chiropractic | 5418 N Eagle Rd, Suite 120, Boise, ID 83713-0103 | |
| Nicole Anna Thomas | Optometry | Mcneel Eye Center, Inc. | 4270 N Eagle Rd, Boise, ID 83713-0726 |
| Brian J Mcneel | Optometry | Mcneel Eye Center, Inc. | 4270 N Eagle Rd, Boise, ID 83713-0726 |
| Matthew J Ogle | Chiropractic | 13999 W Wainwright Dr, Suite 201, Boise, ID 83713-0727 | |
| Scott D Fletcher | Chiropractic | 5246 N Eagle Rd, Boise, ID 83713-0945 | |
| Joseph Blampied | Chiropractic | Fletcher Chiropractic Pllc | 5246 N Eagle Rd, Boise, ID 83713-0945 |
| Jillaine D Stmichel | Chiropractic | Fletcher Chiropractic Pllc | 5246 N Eagle Rd, Boise, ID 83713-0945 |
| Keri Erland | Internal Medicine | 6023 N Eagle Rd, Boise, ID 83713-0997 | |
| Gary A Tubbs | Family Practice | Deer Point Family Practice PC | 6023 N Eagle Rd, Boise, ID 83713-0997 |
| Yesenia Ineck | Physical Therapy | Restore Physical Therapy PC | 5418 N Eagle Rd, Suite 170, Boise, ID 83713-0999 |
| Find all physicians in zip 83713 | |||
| City | BOISE |
| Zip Code | 83713 |
| Specialty | DERMATOLOGY |
| City + Specialty | BOISE + DERMATOLOGY |
Please comment or provide details below to improve the information on Dustin Ray Portela.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.