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

Epiphany Dermatology of Oregon, LLC

Organization Dermatology Physician · NPI 1174697239

Epiphany Dermatology of Oregon, LLC provides Dermatology Physician services in Portland, Oregon. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2222 NW Lovejoy St Ste 422
Portland, OR 97210-3033
Phone: (503) 227-7117
Fax: (503) 227-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1174697239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Secretary · (512) 628-0465
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

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