P Praxis·MD
● Active Type 1 · Individual

DR. Dustin Ray Portela, D.O.

Dermatology·Boise, ID· NPI 1588002547 · Enumerated 2013 · 12 years on NPI
Portela is 1 of 23 dermatology providers in Boise and 1 of 102 in Idaho.
NPI age
12 years
Enumerated 2013-06-11
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
ID, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 102 active dermatology providers in Idaho.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
6051 N Eagle Rd
Boise, ID 837130997
📞 2085194333
Mailing address
6051 N Eagle Rd
Boise, ID 837130997
📞 2085194333fax 2082059134

Additional practice locations

1 secondary location on file with NPPES.

Location 2
999 N Curtis Rd Ste 307
Boise, ID 837061333
📞 2085194333fax 2082059134

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    ID license #O-1052 taxonomy 207N00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    MI license #5101020649 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dermatology provider has been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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