Organization
YAKIMA VALLEY DERMATOLOGY INC. , PS
Active
Other names
Valley Dermatology Associates P.S., INC, Valley Dermatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BRASWELL (CLINICAL MANAGER)
(509) 966-7899
Entity
Organization
Contact information
Practice address
3911 CASTLEVALE RD STE 301, YAKIMA, WA 98902-7807
(509) 966-7899
(509) 225-6811
Mailing address
3911 CASTLEVALE RD STE 301, YAKIMA, WA 98902-7807
(509) 966-7899
(509) 225-6811
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA10004546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8178956
—
WA
Enumeration date
09/24/2007
Last updated
10/03/2023
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