Fair Winds Dermatology LLC
NPI 1639937170ActiveOrganization· Dermatology· Corvallis, OR
Dermatology in Corvallis, Oregon, registered in NPPES in March 2024. The authorized official on file is Katie Hatsushi, MD, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639937170 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2024 |
| Last updated in NPPES | Nov 25, 2024 |
| Certified by provider | Nov 25, 2024 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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