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

Portland Dermatology Clinic, LLP

Organization Specialist · NPI 1740334952

Portland Dermatology Clinic, LLP provides Specialist services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1414 NW Northrup St Ste 600
Portland, OR 97209-2798 Not confirmed with CMS for 16 years — call before visiting
Phone: (503) 223-3104
Fax: (503) 223-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD18952 (OR)

Record details

NPI number1740334952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kate Othus — Administrator · (503) 445-2133
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 19, 2010
Mailing address1414 Nw Northrup St, Suite 600, Portland, OR 97209-2798

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