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Organization

REICHEL DERMATOLOGY ASSOCIATES, PLLC

Active
Other names
Pacific Dermatology & Cosmetic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LYNN REICHEL MD (OWNER)
(206) 859-5777
Entity
Organization

Contact information

Practice address
11011 MERIDIAN AVE N, SUITE 102, SEATTLE, WA 98133-8967
(206) 859-5777
(206) 859-5776
Mailing address
11011 MERIDIAN AVE N, SUITE 102, SEATTLE, WA 98133-8967
(206) 859-5777
(206) 859-5776

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207N00000X
Dermatology Physician
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
207NS0135X
Procedural Dermatology Physician

Other

Enumeration date
05/24/2006
Last updated
01/20/2021
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