NPIMap

Organization Active NPI

Dermatology Solutions LLC

  • Medical Specialty Clinic/Center
  • West Linn, OR
National Provider Identifier
1508271198
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
201050014NP Issued in OR
Legal business name
DERMATOLOGY SOLUTIONS LLC
Practice address
1800 Blankenship Rd
Suite 448
West Linn, OR 97068-4172
Phone
(503) 929-7722
Fax
(503) 451-6822
NPI assigned
Jun 23, 2014
Last updated
Mar 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel PulverNPI 1730364563
Title
Owner
Phone
(503) 929-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 201050014NP OR
Medical Specialty Clinic/Center 261QM2500X 201050014NP OR Primary

Addresses

Primary practice location

1800 Blankenship Rd
Suite 448
West Linn, OR 97068-4172

Mailing address

1800 Blankenship Rd
Suite 448
West Linn, OR 97068-4172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140820002254 OR Part B Supplier - Clinic/Group Practice 7517185374 Receives reassigned benefits from 3 practitioners
Practice locations: West Linn, OR

National Provider Directory

National Provider Directory

Locations

1800 Blankenship Rd
Ste 448
West Linn, OR 97068
Phone (503) 929-7722

2130 8th Ct
West Linn, OR 97068
Phone (503) 929-7722

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1508271198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD",
            "address_2": "SUITE 448",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD",
            "address_2": "SUITE 448",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684172",
            "telephone_number": "503-929-7722",
            "fax_number": "503-451-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "PULVER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-929-7722"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "201050014NP",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "201050014NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.