| NPI | 1679852396 |
|---|---|
| Doing Business As | NW DERMATOLOGY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | NISHA SHAH DESAI Owner 503-223-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2020-05-08 |