NPI 1477169753

Hearthstone Dermatology Nonprofit Professional Services

Organisation Voluntary or Charitable Agency McCleary, WA

Practice location

Address: 828 Mox Chehalis Rd, McCleary, WA 98557-9408
Phone: (360) 470-0671
Fax: (360) 464-2617

Authorised official

Name: Geneva Tzenov
Title: Ceo-Administrator
Phone: (360) 470-0671

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Washington →

Registry record

NPI: 1477169753
Entity type: Organization
NPI issued: 22 Sep 2020
Record last updated: 22 Sep 2020

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.