Active NPI
Marla Ross, M.D.
- Procedural Dermatology Physician
- Tigard, OR
National Provider Identifier
1881667947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- MD18246
- Practice address
- 10215 SW Hall Blvd
Tigard, OR 97223-8809 - Phone
- (503) 245-2415
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD18246 | OR | |
| Procedural Dermatology Physician | 207NS0135X | MD18246 | OR | Primary |
Addresses
Primary practice location
10215 SW Hall Blvd
Tigard, OR 97223-8809
Mailing address
10215 SW Hall Blvd
Tigard, OR 97223-8809
Phone (503) 245-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1881667947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 SW HALL BLVD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238809",
"telephone_number": "503-245-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 SW HALL BLVD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238809",
"telephone_number": "503-245-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MARLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "MD18246",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "OR",
"license": "MD18246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.