| Dermatology Solutions Llc | |
|
1800 Blankenship Rd Suite 448 West Linn OR 97068-4172 | |
| (503) 929-7722 | |
| (503) 451-6822 |
| Full Name | Dermatology Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Blankenship Rd, West Linn, Oregon |
| Authorized Official Name and Position | Rachel Pulver (OWNER) |
| Authorized Official Contact | 5039297722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermatology Solutions Llc 1800 Blankenship Rd Suite 448 West Linn OR 97068-4172 Ph: () - | Dermatology Solutions Llc 1800 Blankenship Rd Suite 448 West Linn OR 97068-4172 Ph: (503) 929-7722 |
| NPI Number | 1508271198 |
|---|---|
| Provider Enumeration Date | 06/23/2014 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 7517185374 |
|---|---|
| Medicare Enrollment ID | O20140820002254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508271198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 201050014NP (Oregon) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | 201050014NP (Oregon) | Primary |
| Provider Name | Rachel Ann Pulver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730364563 PECOS PAC ID: 5597895391 Enrollment ID: I20100604000448 |
| Provider Name | Sarah Baca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902260425 PECOS PAC ID: 6002150679 Enrollment ID: I20181207002622 |
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