North Pacific Dermatology Services, Llc in Renton - Ambulatory Surgical
North Pacific Dermatology Services, Llc - NPI 1790973436
North Pacific Dermatology Services, Llc is a Ambulatory Surgical in Renton, Washington. North Pacific Dermatology Services, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for North Pacific Dermatology Services, Llc is 1790973436. The last update date is 2010-01-11.
North Pacific Dermatology Services, Llc's current location address is 1412 Sw 43rd St Ste 205, Renton, Washington. You can contact this provider via phone number 4252640660 and fax number 4252640601. The mailing address for North Pacific Dermatology Services, Llc is 1412 Sw 43rd St Ste 205, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Pacific Dermatology Services, Llc |
|---|---|
| Address | 1412 Sw 43rd St Ste 205, Renton, Washington |
| Phone Number | 4252640660 |
| Fax Number | 4252640601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kageyama P Nicole |
| Credentials | M.D. |
| Telephone Number | 4252640660 |
NPI Number Detail
| NPI Number | 1790973436 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2010-01-11 |
Provider Mailing Address Detail
| Address | 1412 Sw 43rd St Ste 205 |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980574803 |
| Phone Number | 4252640660 |
| Fax Number | 4252640601 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE5794 | WA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the North Pacific Dermatology Services, Llc's unique identification number?
The North Pacific Dermatology Services, Llc has been assigned the NPI (National Provider Identifier) Number 1790973436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where North Pacific Dermatology Services, Llc's facilities are geographically located?
The facilities of North Pacific Dermatology Services, Llc are physically situated at the following location: 1412 Sw 43Rd St Ste 205, Renton, WA, 980574803.
What is North Pacific Dermatology Services, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for North Pacific Dermatology Services, Llc is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790973436 to North Pacific Dermatology Services, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1790973436 to North Pacific Dermatology Services, Llc on 2007-10-09.
As of what date were the details pertaining to North Pacific Dermatology Services, Llc last refreshed?
The information related to the North Pacific Dermatology Services, Llc, including its address, specialty, and other relevant details, was last updated on 2010-01-11.
NPI Number: 1982607784
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