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

Dr. Stephanie J Mengden Koon, MD

Individual provider Dermatopathology Physician · NPI 1780667527

Dr. Stephanie J Mengden Koon, MD is a Dermatology in Tigard, Oregon. Graduated from University of Texas Medical School at San Antonio in 2002, 24 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
24
Trained at
University of Texas Medical School at San Antonio
Licensed in
OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12254 SW Garden Pl
Tigard, OR 97223-8246
Phone: (503) 906-7300
Fax: (503) 245-8219
Show map & directions

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

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence MD28731 (OR)
Dermatology Physician Taxonomy 207N00000X · Licence MD28731 (OR)

Record details

NPI number1780667527
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESNovember 2, 2010

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2002 (24 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare