Dermatology Professionals

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY PROFESSIONALS

Practice address

2228 Lloyd Ctr
Suite 0H303
Portland, OR 97232-1311

Phone

(503) 344-6643

Fax

(503) 296-2887

NPI assigned

Dec 14, 2010

Last updated

Mar 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claudia TaylorNPI 1356485114

Title

Member/Owner

Phone

(503) 344-6643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Claudia P Taylor, M.D.

  • Dermatology Physician
  • Portland, OR
  • NPI 1356485114
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1902109887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972288150",
            "telephone_number": "503-344-6643",
            "fax_number": "503-296-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 LLOYD CTR",
            "address_2": "SUITE 0H303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321311",
            "telephone_number": "503-344-6643",
            "fax_number": "503-296-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "503-344-6643"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Doug Derham, CADC-R
• Lila Derickson, ND
• George Derk, MD
• Gwendolyn Rose Derk
• Dermatology by Design LLC
• Craig Scott Dermer, CCC-CLP
• Tom C Deroche, M.D.
• Frances A Derook, M.D.
• Dominique Derosa, RN BSN
• David C Derosia, LMT

• Dermatology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.