BERT TAVELLI, MD
Dermatology
Active
Individual
NPI: 1013918978
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | MD 14681 (OR) |
Frequently Asked Questions
NPI 1013918978 is the National Provider Identifier for BERT TAVELLI, MD, a Dermatology provider located in Portland, OR. This NPI was enumerated on August 2, 2005.
BERT TAVELLI, MD practices at 2525 NW LOVEJOY ST STE 400, Portland, OR 97210.
Quick Facts
- NPI
- 1013918978
- Type
- Individual
- Enumerated
- Aug 2, 2005
- Last Updated
- Mar 7, 2023
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