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

Fair Winds Dermatology LLC

Organization Dermatology Physician · NPI 1639937170

Fair Winds Dermatology LLC is a Dermatology Physician in Corvallis, Oregon. Registered with an NPI since 2024.

In the registry since
2024
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

2430 NW Professional Dr
Corvallis, OR 97330-3991
Phone: (541) 230-1350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1639937170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Hatsushi — Office Manager · (408) 480-7500
NPI enumeratedMarch 11, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address2430 Nw Professional Dr, Corvallis, OR 97330-3991

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