| NPI | 1528311123 |
|---|---|
| Doing Business As | DERMATOLOGY & SKIN CARE CENTER OF WEST LINN |
| Entity Type | Organization |
| Authorized Contact | FARNAZ DANA FAKHARI Physician Provider/President 503-344-6487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD157343) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2017-03-03 |