Arboretum Dermatology Seattle, PLLC
Clinic/Center in Seattle, WA. Organization (NPI-2).
NPI number1982129490
StatusActive
Last updated in NPPESNov 29, 2017
Details
- NPI
- 1982129490
- Entity type
- Organization (NPI-2)
- Legal business name
- Arboretum Dermatology Seattle, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2017
- Last updated
- Nov 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
3131 E Madison St Ste 205Seattle, WA 98112-4266
Phone 206-462-5850 · Fax 206-487-5150
Mailing address
1861 McGilvra Blvd ESeattle, WA 98112-3123
Phone 206-919-0198
Authorized official
Nicki Pethes
Credentialing Analyst
7155232485
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