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

Lake Oswego Dermatology Group, PC

Organization Dermatology Physician · NPI 1710167689

Lake Oswego Dermatology Group, PC is a Dermatology Physician in Lake Oswego, Oregon. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17704 Jean Way Ste 102
Lake Oswego, OR 97035-5497
Phone: (503) 635-9221
Fax: (503) 635-5902
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1710167689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rita Shigeta — Office Manager · (503) 635-9221
NPI enumeratedNovember 8, 2007
Last updated in NPPESFebruary 3, 2010
Mailing address17704 Jean Way, Suite 102, Lake Oswego, OR 97035-5497

Other providers in Lake Oswego