| NPI | 1700221397 |
|---|---|
| Doing Business As | GOODSKIN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | PAUL JEFFERY ANDERUD Owner/CEO 503-654-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR DO157838) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-05-25 |