| NPI | 1750496642 |
|---|---|
| Doing Business As | NORTHWEST DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HSU Owner/Physician 509-444-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00033906) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-05-18 |