Organization
BIRCH BAY DERMATOLOGY P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG HAGENSEN (DIRECTOR OF OPERATIONS)
(360) 255-5049
Entity
Organization
Contact information
Practice address
4540 CORDATA PKWY, STE 101, BELLINGHAM, WA 98226-8059
(360) 255-5049
(360) 778-2395
Mailing address
4540 CORDATA PKWY, STE 101, BELLINGHAM, WA 98226-8059
(360) 255-5049
(360) 778-2395
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD60450667
WA
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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