NPI 1548611569

Derma PLLC

Organisation Public Health or Welfare Agency Olympia, WA

Practice location

Address: 3025 Limited Ln NW Suite 100, Olympia, WA 98502-2613
Phone: (360) 350-5321

Authorised official

Name: Amanda Berg
Title: Spa Director
Phone: (360) 350-5321

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Registry record

NPI: 1548611569
Entity type: Organization
NPI issued: 30 Jun 2016
Record last updated: 30 Jun 2016

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.