Organization
DERMATOPATHOLOTY NORTHWEST PLLC
Active
Other names
Carlsen Histopath
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY P MURDOCH (OFFICE MANAGER)
(425) 455-9945
Entity
Organization
Contact information
Practice address
2330 130TH AVE NE # 201, BELLEVUE, WA 98005-1756
(425) 455-9945
(425) 455-9947
Mailing address
2330 130TH AVE NE # 201, BELLEVUE, WA 98005-1756
(425) 455-9945
(425) 455-9947
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
50D0629327
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6337DE
REGENCE
WA
05
—
7099864
—
WA
Enumeration date
10/09/2006
Last updated
08/19/2008
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