Dermatology Associates Of Southwest Washington, Pllc

LBN: Dermatology Associates Of Southwest Washington, Pllc
Dermatology Associates Of Southwest Washington, Pllc is an health care organization with primary practice located at 8614 E Mill Plain Blvd Suite 400, Vancouver WA 98664-2059. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Dermatology Associates Of Southwest Washington, Pllc can be contacted via phone (360) 254-5267, or through Datloff, Joel H via phone (360) 254-5267.

Contact Information

Primary practice address
8614 E Mill Plain Blvd Suite 400 Vancouver WA 98664-2059
Phone: (360) 254-5267
Fax: (360) 254-6089
Website:
Map and Directions
Authorized official contact:
Name: Datloff, Joel H Doctor of Medicine (MD)
Phone: (360) 254-5267

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1992938906
LBN Legal business name Dermatology Associates Of Southwest Washington, Pllc
DBA Doing business as
Authorized official Datloff, Joel H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2009
Last updated May 31st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992938906 NPPES
Washington MEDICAID 7065758

Popular Providers