OrganizationActive
Skin Cancer Surgery Center
NPI 1699943126 · Preferred Provider Organization · Tualatin, OR
Provider details
- NPI number
- 1699943126
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Andrea Pena, Clinic Manager(503) 691-1122
- License
- 23409 (OR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6370 Sw Borland Rd.
Suite 200
Tualatin, OR 97062
Phone: (503) 691-1122
Fax: (503) 691-1144
Street-level locationGet directions
Mailing address
6370 Sw Borland Rd.
Tualatin, OR 97062
Other names (DBA / former)
- Doing business as
- Skin Cancer Surgery Center
- Doing business as
- Skin Cancer Surgery Center
Registry dates
- Enumerated
- 2008-02-19
- Last updated
- 2024-01-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.