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

Individual provider Dermatology Physician · NPI 1124280540

Dr. Omar N Qutub, MD is a Dermatology Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1129 NW 11th Ave
Portland, OR 97209-3469
Phone: (503) 705-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD158125 (OR)

Record details

NPI number1124280540
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESFebruary 21, 2018

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