Knott Street Dermatology PC
NPI 1891741864 · Specialist · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Knott Street Dermatology PC is a Specialist organization in Portland, OR (NPI 1891741864).
Provider details
- NPI number
- 1891741864
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Eric Hanson, President(503) 253-3910
- License
- MD26393 (OR)
Specialties & taxonomies
Other Service Providers
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
- 2006-05-25
- Last updated
- 2014-08-13
Frequently asked questions
- What is Knott Street Dermatology PC's NPI number?
- Knott Street Dermatology PC's National Provider Identifier (NPI) is 1891741864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Knott Street Dermatology PC?
- Knott Street Dermatology PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Knott Street Dermatology PC located?
- Knott Street Dermatology PC's practice location on file with NPPES is 301 Ne Knott St, Portland, OR 97212-3014.
- What is Knott Street Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Knott Street Dermatology PC is (503) 253-2675.
- Does Knott Street Dermatology PC accept Medicare?
- Knott Street Dermatology 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 Knott Street Dermatology PC?
- The authorized official listed on Knott Street Dermatology PC's NPPES record is Eric Hanson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Knott Street Dermatology PC's NPI active?
- Yes — Knott Street Dermatology PC's NPI (1891741864) is active in the NPPES registry as of the last update on 2014-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.