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

Silver Falls Dermatology, LLC

Organization Dermatology Physician · NPI 1134375421

Silver Falls Dermatology, LLC is a Dermatology Physician in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
8
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

1793 13th St SE
Salem, OR 97302-2541
Phone: (503) 362-8385
Fax: (503) 362-8435
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Dermatology Physician Taxonomy 207N00000X · Licence MD26178 (OR)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X
Procedural Dermatology Physician Taxonomy 207NS0135X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1134375421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malissa Kobbevik — Credentialing Manager · (360) 375-2038
Other names Frontier Dermatology; Silver Falls Dermatology, Pc; Silver Falls Dermatology, Pc
NPI enumeratedAugust 18, 2008
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address1793 13th St Se, Salem, OR 97302-2541

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