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

Dr. Dustin Ray Portela, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588002547

Dr. Dustin Ray Portela, DO is a Dermatology in Boise, Idaho. Qualified in 2013, 13 years ago. Practices with Treasure Valley Dermatology and Skin Cancer Center, PLLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Michigan.

Years since qualifying
13
Licensed in
ID, MI
In the registry since
2013
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6051 N Eagle Rd
Boise, ID 83713-0997
Phone: (208) 519-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 999 N Curtis Rd Ste 307, Boise, ID 83706-1333 — (208) 519-4333

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence O-1052 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5101020649 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588002547
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 11, 2013
Last updated in NPPESNovember 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Treasure Valley Dermatology And Skin Cancer Center, Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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