Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clackamas Dermatology PC

Organization Dermatology Physician · NPI 1700221397

Clackamas Dermatology PC is a Dermatology Physician in Clackamas, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12605 SE 97th Ave
Clackamas, OR 97015-9706
Phone: (503) 654-7546
Fax: (503) 786-3542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence DO157838 (OR)

Record details

NPI number1700221397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Anderud — Owner/Ceo · (503) 654-7546
Other names Goodskin Dermatology; Goodskin Dermatology
NPI enumeratedMay 8, 2013
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing address12605 Se 97th Ave, Clackamas, OR 97015-9706

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