OrganizationActive
Advanced Dermatology of Oregon PC
NPI 1215035332 · Dermatology Physician · Tualatin, OR
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
Practice location
19255 Sw 65th Ave
Ste 260
Tualatin, OR 97062-7451
Phone: (503) 692-9525
Fax: (503) 692-8643
Approximate (ZIP-level) locationGet directions
Mailing address
19255 Sw 65th Ave
Tualatin, OR 97062-7451
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 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.