Northwest Dermatology & Laser Clinic PC
NPI 1376571364 · Dermatology Physician · Portland, OR
Northwest Dermatology & Laser Clinic PC is a Dermatology Physician organization in Portland, OR (NPI 1376571364).
Provider details
- NPI number
- 1376571364
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bert Tavelli, President(503) 295-2366
- License
- MD14681 (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
20 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
- 2006-06-29
- Last updated
- 2016-06-01
Frequently asked questions
- What is Northwest Dermatology & Laser Clinic PC's NPI number?
- Northwest Dermatology & Laser Clinic PC's National Provider Identifier (NPI) is 1376571364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Dermatology & Laser Clinic PC?
- Northwest Dermatology & Laser Clinic PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Northwest Dermatology & Laser Clinic PC located?
- Northwest Dermatology & Laser Clinic PC's practice location on file with NPPES is 1130 Nw 22nd Ave Ste 330, Portland, OR 97210-2970.
- What is Northwest Dermatology & Laser Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Northwest Dermatology & Laser Clinic PC is (503) 295-2366.
- Who is the authorized official for Northwest Dermatology & Laser Clinic PC?
- The authorized official listed on Northwest Dermatology & Laser Clinic PC's NPPES record is Bert Tavelli, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Dermatology & Laser Clinic PC's NPI active?
- Yes — Northwest Dermatology & Laser Clinic PC's NPI (1376571364) is active in the NPPES registry as of the last update on 2016-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.