Nw Dermatology and Research Center, LLC
NPI 1679852396ActiveOrganization· Dermatology· Portland, OR
Dermatology in Portland, Oregon, registered in NPPES in August 2011. The authorized official on file is Nisha Shah Desai, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679852396 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2011 |
| Last updated in NPPES | May 8, 2020 |
| Certified by provider | May 8, 2020 |
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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