Epiphany Dermatology of Oregon, LLC
NPI 1174697239ActiveOrganization· Dermatology· Portland, OR
Dermatology in Portland, Oregon, registered in NPPES in November 2006. The authorized official on file is Gheorghe Pusta, Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174697239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Jul 21, 2025 |
| Certified by provider | Jul 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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