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NW DERMATOLOGY & SKIN CANCER CLINIC NPI 1336292796


NPI Information

NPI: 1336292796
Provider Name: NW DERMATOLOGY & SKIN CANCER CLINIC

Other Name: NW DERM AND SKIN CANCER CLC

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
21600 HIGHWAY 99
SUITE 280
EDMONDS, WA
ZIP 98026
Phone: (425) 774-2616
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NW DERMATOLOGY & SKIN CANCER CLINIC is a dermatology in Edmonds, WA. The provider is 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 dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. NW DERMATOLOGY & SKIN CANCER CLINIC NPI is 1336292796. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Nw Derm And Skin Cancer Clc.

The provider's business location address is:

21600 HIGHWAY 99
SUITE 280
EDMONDS, WA
ZIP 98026-012
Phone: (425) 774-2616
Fax: (425) 774-2660

The provider's authorized official is John Lawrence Headley .
The authorized official title is Owner and has the following contact phone number (425) 774-2616.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology600 551-763WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18865740MEDICARE PINWASHINGTON
2AB06518MEDICARE PINWASHINGTON
3AB05156MEDICARE PINWASHINGTON
48869135MEDICARE PINWASHINGTON
58857077MEDICARE PINWASHINGTON
68864849MEDICARE PINWASHINGTON
78865473MEDICARE PINWASHINGTON
8001255500MEDICARE PINWASHINGTON
9001255501MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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