| NPI | 1790973436 |
|---|---|
| Former Legal Business Name | NORTH PACIFIC DERMATOLOGY, P.S. |
| Entity Type | Organization |
| Authorized Contact | NICOLE P KAGEYAMA President 425-264-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00046078) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: WA MTS-4912) |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2010-01-11 |