Organization
INTEGRATIVE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARTIN (PA-C)
(509) 794-1434
Entity
Organization
Contact information
Practice address
1607 CREEKSIDE LOOP STE 140, YAKIMA, WA 98902-4882
(509) 794-1434
(509) 774-3220
Mailing address
1607 CREEKSIDE LOOP STE 140, YAKIMA, WA 98902-4882
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
11/22/2024
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