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

Silver Falls Dermatology, LLC

Organization Clinical & Laboratory Immunology (Allergy & Immunology) Physician · NPI 1770800930

Silver Falls Dermatology, LLC is a Clinical & Laboratory Immunology (Allergy & Immunology) Physician in Salem, Oregon. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

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

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Taxonomy 207KI0005X
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X

Record details

NPI number1770800930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malissa Kobbevik — Credentialing Manager · (360) 375-2038
Other names Frontier Dermatology
NPI enumeratedApril 28, 2010
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address1793 13th St Se, Salem, OR 97302-2541