Genesis Dermatology
Genesis Dermatology is a Dermatology Physician in LA Grande, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1902 4th St Ste 3LA Grande, OR 97850-2558
Phone: (541) 663-0007
Fax: (541) 663-0010
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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 number | 1659144111 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryce Earle — Chief Operations Manager · (541) 663-0007 |
| NPI enumerated | November 6, 2023 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | November 6, 2023 |
| Mailing address | 1902 4th St Ste 3, La Grande, OR 97850-2558 |