Individual provider Active NPI

Luke Dang

  • Anatomic Pathology & Clinical Pathology Physician
  • Salem, OR
National Provider Identifier
1922526391
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD223968 Issued in OR
Practice address
966 12TH St SE Ste 130
Salem, OR 97302-2860
Phone
(503) 837-6395
NPI assigned
Sep 6, 2017
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD223968 OR
Dermatopathology (Pathology) Physician 207ZD0900X A179113 CA
Dermatopathology (Pathology) Physician 207ZD0900X MD61419846 WA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A179113 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD61419846 WA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD223968 OR Primary

Addresses

Primary practice location

966 12TH St SE Ste 130
Salem, OR 97302-2860

Mailing address

966 12TH St SE Ste 130
Salem, OR 97302-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250304001310 WA Practitioner - Pathology 7719359934 Reassigns benefits to 1 organization
I20250317000918 OR Practitioner - Pathology 7719359934 Reassigns benefits to 1 organization
I20251121003674 CA Practitioner - Pathology 7719359934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians

Practice addresses (Care Compare)

1815 Hudson St
Longview, WA 98632-2913
Phone (541) 316-6575

966 12TH St SE
Suite 130
Salem, OR 97302-2860
Phone (503) 837-6395

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A179113CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lucent Pathology Partners, Inc Dermatopathology CurrentSince Dec 1, 2025 Accepting new patients
Clear Choice Dermatology CurrentSince Feb 1, 2025 Accepting new patients

Locations

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

4400 Duckhorn Dr
Ste 200
Sacramento, CA 95834
Phone (916) 634-7767

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

123 C Ave
Lake Oswego, OR 97034
Phone (702) 550-9784

1610 12th St SE
Salem, OR 97302
Phone (503) 905-9006

966 12th St SE
Ste 130
Salem, OR 97302
Phone (503) 540-7477

1815 E 19th St
Ste B
The Dalles, OR 97058
Phone 5413166575184

1825 E 19th St
The Dalles, OR 97058
Phone (541) 506-6440

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

1815 Hudson St
Longview, WA 98632
Phone (360) 636-2636

9951 Mickelberry Rd NW
Ste 201
Silverdale, WA 98383
Phone (360) 692-1814

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1922526391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 12TH ST SE STE 130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 12TH ST SE STE 130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022860",
            "telephone_number": "503-837-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "OR",
            "license": "MD223968",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A179113",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WA",
            "license": "MD61419846",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A179113",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD61419846",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD223968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.