Organization
NORTH PACIFIC DERMATOLOGY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOBUYOSHI KAGEYAMA MD (SECRETARY/TREASURER)
(425) 264-0660
Entity
Organization
Contact information
Practice address
1412 SW 43RD ST, STE 205, RENTON, WA 98057-4803
(425) 264-0660
(425) 264-0601
Mailing address
1200 112TH AVE NE, STE C187, BELLEVUE, WA 98004-3732
(425) 457-7900
(425) 264-0601
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
07/21/2022
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