| NPI | 1871548214 |
|---|---|
| Doing Business As | PACIFIC DERMATOLOGY & COSMETIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN REICHEL Owner 206-859-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-01-20 |