EPIPHANY DERMATOLOGY OF OREGON, LLC

PORTLAND, OR
NPI1174697239
Entity TypeOrganization
Authorized ContactGHEORGHE PUSTA
Secretary
512-628-0465
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-11-20
Last Update Date2025-07-21
Business Address
EPIPHANY DERMATOLOGY OF OREGON, LLC
2222 NW LOVEJOY ST SUITE 422
PORTLAND, OR 97210-3033
Phone number: 503-227-7117
Mailing Address
EPIPHANY DERMATOLOGY OF OREGON, LLC
7300 RANCH ROAD 2222, BLDG 1, STE 200
AUSTIN, TX 78730-3255
Phone number: 512-628-0465
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