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

Willamette Dermatology, PC

Organization Specialist · NPI 1245221084

Willamette Dermatology, PC is a Specialist in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19875 SW 65th Ave Ste 260
Tualatin, OR 97062-8353
Phone: (503) 691-1743
Fax: (503) 691-0983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD21432 (OR)

Record details

NPI number1245221084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Klas — Owner/Physician · (503) 691-1743
NPI enumeratedNovember 1, 2005
Last updated in NPPESDecember 8, 2008
Mailing addressPo Box 23200, Portland, OR 97281-3200

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