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

Treasure Valley Dermatology & Skin Cancer Center, PLLC

Organization Dermatology Physician · NPI 1598271645

Treasure Valley Dermatology & Skin Cancer Center, PLLC is a Dermatology Physician in Meridian, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2535 E Fairview Ave
Meridian, ID 83642-8072
Phone: (208) 519-4333
Fax: (208) 205-9134
Show map & directions

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

Additional practice locations (2)

  • 999 N Curtis Rd Ste 307, Boise, ID 83706-1333 — (208) 519-4333
  • 404 E Elm St, Caldwell, ID 83605-4846 — (208) 519-4333

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence O-1052 (ID)

Record details

NPI number1598271645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dustin Portela — President · (208) 351-8088
NPI enumeratedDecember 26, 2017
Last updated in NPPESApril 8, 2024
Certification dateApril 3, 2024
Mailing address2535 E Fairview Ave, Meridian, ID 83642

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