Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Dermatology of Oregon PC

Organization Dermatology Physician · NPI 1215035332

Advanced Dermatology of Oregon PC provides Dermatology Physician services in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19255 SW 65th Ave Ste 260
Tualatin, OR 97062-7451 Not confirmed with CMS for 12 years — call before visiting
Phone: (503) 692-9525
Fax: (503) 692-8643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 338484-90 (OR)

Record details

NPI number1215035332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maeran Landers — Owner · (503) 692-9525
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 27, 2014
Mailing address19255 Sw 65th Ave, Ste 260, Tualatin, OR 97062-7451

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