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

Lacey Roybal, DO

Individual provider Dermatology Physician · NPI 1366977027

Lacey Roybal, DO is a Micrographic Dermatologic Surgery (Mds) in Salem, Oregon. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2017, 9 years ago. Practices with Silver Falls Dermatology LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
OR
In the registry since
2017
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

1793 13th St SE
Salem, OR 97302-2541
Phone: (866) 599-3376
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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 DO188595 (OR)

Record details

NPI number1366977027
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address3600 Nw Samaritan Dr, Corvallis, OR 97330-3737

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Silver Falls Dermatology Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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