Evergreen Dermatopathology Pllc

LBN: Evergreen Dermatopathology Pllc
Evergreen Dermatopathology Pllc is an health care organization with primary practice located at 2110 N Molter Rd #112 , Liberty Lake WA 99019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty. Evergreen Dermatopathology Pllc can be contacted via phone (208) 277-9704, or through Hamstra, Ashley Anne via phone (208) 277-9704.

Contact Information

Primary practice address
2110 N Molter Rd #112 Liberty Lake WA 99019
Phone: (208) 277-9704
Fax: (208) 277-9704
Website:
Map and Directions
Authorized official contact:
Name: Hamstra, Ashley Anne Doctor of Medicine (MD)
Phone: (208) 277-9704

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X

Profile Details

NPI number 1700581170
LBN Legal business name Evergreen Dermatopathology Pllc
DBA Doing business as
Authorized official Hamstra, Ashley Anne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2023
Last updated Apr 4th, 2023 - about 2 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.

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