NPI 1255728887

Birch Bay Dermatology P.S.

Organisation Dermatology Physician Bellingham, WA

Practice location

Address: 4540 Cordata Pkwy STE 101, Bellingham, WA 98226-8059
Phone: (360) 255-5049
Fax: (360) 778-2395

Authorised official

Name: Doug Hagensen
Title: Director of Operations
Phone: (360) 255-5049

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD60450667 (WA)

Other Dermatology providers in Washington →

Registry record

NPI: 1255728887
Entity type: Organization
NPI issued: 21 Apr 2015
Record last updated: 21 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.