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Grace Dermatology & Micrographic Surgery LLC

Medical Specialty Clinic/Center in Lebanon, OR · enumerated 2012 · authorized official Kyle Horner, Owner.

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

National Provider Identifier

1184973828

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Registry record

Entity type Organization (Type 2)
Legal business name Grace Dermatology & Micrographic Surgery LLC
Practice address 2500 S Main Rd, Lebanon, OR, 97355
Enumeration date Sep 7, 2012
Last updated in NPPES Nov 26, 2012

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License MD153145 (OR) Primary

Authorized official

Name Kyle Horner
Title Owner

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.

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Frequently asked questions

What is the NPI number for Grace Dermatology & Micrographic Surgery LLC?
The NPI for Grace Dermatology & Micrographic Surgery LLC is 1184973828, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Grace Dermatology & Micrographic Surgery LLC?
NPPES lists Kyle Horner (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-26.