| NPI | 1700081742 |
|---|---|
| Doing Business As | YAMHILL VALLEY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | RICHARD IVAN ECKER Owner 503-472-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD11786) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: OR MD11786) |
| 207ND0900X Dermatology Dermatopathology (Licence: OR MD11786) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: OR MD11786) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2012-02-21 |