Woodinville Dermatology

LBN: Sound Dermatology & Skin Surgery Pllc
Woodinville Dermatology is an health care organization with primary practice located at 8301 161St Ave Ne Ste 108 , Redmond WA 98052-3858. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Sound Dermatology & Skin Surgery Pllc can be contacted via phone (425) 485-7985, or through Petrin, James H via phone (425) 485-7985.

Contact Information

Primary practice address
8301 161St Ave Ne Ste 108 Redmond WA 98052-3858
Phone: (425) 485-7985
Fax: (425) 483-2375
Website:
Map and Directions
Authorized official contact:
Name: Petrin, James H Doctor of Medicine (MD)
Phone: (425) 485-7985

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MD00035810 Washington

Profile Details

NPI number 1538386990
LBN Legal business name Sound Dermatology & Skin Surgery Pllc
DBA Doing business as Woodinville Dermatology
Authorized official Petrin, James H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 13th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1538386990 NPPES
Washington MEDICAID 8228371

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