Grace Dermatology & Micrographic Surgery LLC
Grace Dermatology & Micrographic Surgery LLC is a Medical Specialty Clinic/Center in Lebanon, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2500 S Main RdLebanon, OR 97355-2336
Phone: (206) 465-8046
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence MD153145 (OR) |
|---|
Record details
| NPI number | 1184973828 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Horner — Owner · (206) 465-8046 |
| NPI enumerated | September 7, 2012 |
| Last updated in NPPES | November 26, 2012 |
| Mailing address | 2500 S Main Rd, Lebanon, OR 97355-2336 |