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

Dermatology by Design LLC

Organization Dermatology Physician · NPI 1972004455

Dermatology by Design LLC is a Dermatology Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1129 NW 11th Ave
Portland, OR 97209-3469
Phone: (503) 705-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD158125 (OR)

Record details

NPI number1972004455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Qutub — Owner · (503) 705-2331
NPI enumeratedFebruary 21, 2018
Last updated in NPPESFebruary 21, 2018
Mailing address949 Nw Overton St Unit 608, Portland, OR 97209-3270

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