Organization
PACIFIC DERMATOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHEER A. BADIEI M.D. (PRESIDENT)
(360) 834-2000
Entity
Organization
Contact information
Practice address
15613 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-8905
(360) 834-2000
Mailing address
15613 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-8905
(360) 834-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
12/10/2013
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