Organization
EASTSIDE DERMATOLOGY INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE A JENNINGS (OFFICE MANAGER)
(425) 454-1104
Entity
Organization
Contact information
Practice address
14030 NE 24TH ST, SUITE 202, BELLEVUE, WA 98007-3724
(425) 454-1104
(425) 454-1290
Mailing address
14030 NE 24TH ST, SUITE 202, BELLEVUE, WA 98007-3724
(425) 454-1104
(425) 454-1290
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7080237
—
WA
01
—
CN9262
RAILROAD MEDIACRE
WA
Enumeration date
09/21/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us