Advanced Dermatology of Oregon PC
NPI 1215035332 · Dermatology Physician · Tualatin, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Dermatology of Oregon PC is a Dermatology Physician organization in Tualatin, OR (NPI 1215035332).
Provider details
- NPI number
- 1215035332
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maeran Landers, Owner(503) 692-9525
- License
- 338484-90 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2014-08-27
Frequently asked questions
- What is Advanced Dermatology of Oregon PC's NPI number?
- Advanced Dermatology of Oregon PC's National Provider Identifier (NPI) is 1215035332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of Oregon PC?
- Advanced Dermatology of Oregon PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology of Oregon PC located?
- Advanced Dermatology of Oregon PC's practice location on file with NPPES is 19255 Sw 65th Ave, Tualatin, OR 97062-7451.
- What is Advanced Dermatology of Oregon PC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of Oregon PC is (503) 692-9525.
- Does Advanced Dermatology of Oregon PC accept Medicare?
- Advanced Dermatology of Oregon PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Dermatology of Oregon PC?
- The authorized official listed on Advanced Dermatology of Oregon PC's NPPES record is Maeran Landers, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology of Oregon PC's NPI active?
- Yes — Advanced Dermatology of Oregon PC's NPI (1215035332) is active in the NPPES registry as of the last update on 2014-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.