CLACKAMAS DERMATOLOGY PC
Dermatology at Sunnyside Rd, Happy Valley, OR

License number
Oregon DO157838
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. PAUL JEFFERY ANDERUD D.O.
Title: OWNER/CEO
Phone: (503) 654-7546
Address
Address
9775 SE Sunnyside Rd #500, Happy Valley, OR 97015
National Provider ID: 1700221397
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CLACKAMAS DERMATOLOGY PC

Happy Valley, OR

Registration:
May 30, 1980
Addresses:
9775 SE Sunnyside Rd #500, Clackamas, OR 97015 (Physical)
9775 SE Sunnyside Rd SUITE 500, Clackamas, OR 97015 (Mailing)
State ID:
14484919
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Paul Jaanderud,9775 SE Sunnyside Rd SUITE 500, Clackamas, OR 97015 (Physical)

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