Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Silver Falls Dermatology, LLC

Q: What type of organization is Silver Falls Dermatology, LLC?

Silver Falls Dermatology, LLC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

Dermatology Physician in Salem, OR · enumerated 2008 · authorized official Malissa Kobbevik, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134375421

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Registry record

Entity type Organization (Type 2)

Legal business name Silver Falls Dermatology, LLC

Other name <Unavail>

Practice address 1793 13th St Se, Salem, OR, 97302

Phone (503) 362-8385

Fax (503) 362-8435

Enumeration date Aug 18, 2008

Last updated in NPPES Oct 17, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License MD26178 (OR) Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Secondary

207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians Secondary

207NI0002X Clinical & Laboratory Dermatological Immunology Physician Allopathic & Osteopathic Physicians Secondary

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Malissa Kobbevik

Title Credentialing Manager

Phone (360) 375-2038

Other identifiers

Identifier	Type	State	Issuer
2034282	Medicaid	WA	-
247588	Medicaid	OR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Silver Falls Dermatology, LLC?

Silver Falls Dermatology, LLC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Russell Young Dermatology Physician · Salem, OR NPI 1144285529 Mark Williams Physician Assistant · Salem, OR NPI 1255369765 Charles Wagner Allergy & Immunology Physician · Salem, OR NPI 1366540742 Rick Pittman Vascular Surgery Physician · Salem, OR NPI 1104990175 William Lear MOHS-Micrographic Surgery Physician · Salem, OR NPI 1558553115 Angela Bohlke Dermatopathology Physician · Salem, OR NPI 1649453390 Sandra Hadenfeld Nurse Practitioner · Salem, OR NPI 1710123054 Silver Falls Dermatology, LLC Clinical Medical Laboratory · Salem, OR NPI 1770800930

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-17.