OrganizationActive
Dermatology By Design LLC
NPI 1972004455 · Dermatology Physician · Portland, OR
Provider details
- NPI number
- 1972004455
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Qutub, Owner(503) 705-2331
- License
- MD158125 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1129 Nw 11th Ave
Portland, OR 97209-3469
Phone: (503) 705-2331
Street-level locationGet directions
Mailing address
949 Nw Overton St Unit 608
Portland, OR 97209-3270
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2018-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.