Skin Cancer Surgery Center
NPI 1699943126ActiveOrganization· Preferred Provider Organization· Tualatin, OR
Preferred Provider Organization in Tualatin, Oregon, registered in NPPES in February 2008. The authorized official on file is Andrea Pena, Clinic Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699943126 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2008 |
| Last updated in NPPES | Jan 11, 2024 |
| Certified by provider | Apr 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 23409 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
Other Preferred Provider Organization providers in Tualatin
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