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Active NPI 1417128984 Organization (Entity Type 2)

Eastern Or Dermatology

Dermatology • Pendleton, OR

About Eastern Or Dermatology NPI 1417128984 Summary

Eastern Or Dermatology is a verified healthcare organization specializing in Dermatology operating in Pendleton, OR. Located at 602 SE BYERS AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1417128984.

Administrative operations and authorized compliance are overseen by John Carrington (Provider).

Facility Location & Contact Primary Location

Facility Address

602 Se Byers Ave

Pendleton, OR 978012330

Telephone 5419668551
Fax 5419668554

Authorized Official Information

Authorized Contact Name

John Carrington , MD

Title / Role

Provider

Official Telephone

5419668551

Facility Classifications & Specialties

Dermatology Primary Taxonomy

NUCC Taxonomy Code: 207N00000X

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 12, 2008

Registered at 602 SE BYERS AVE, PENDLETON, OR 978012330 (Tel: 5419668551)

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Updated Business Mailing Address March 12, 2008

Registered at PO BOX 40, PENDLETON, OR 978010040 (Tel: 5419668551)

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Organization / Clinic Name Updated March 12, 2008

Operating as EASTERN OR DERMATOLOGY

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2008

Dermatology (License #MD19132 in OR)

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Initial NPI Registration & Enumeration March 12, 2008

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1417128984
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 12, 2008
Last Update: March 12, 2008

Mailing Address

Po Box 40

Pendleton, OR 978010040

Phone: 5419668551

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.