Organization
ARBORETUM DERMATOLOGY SEATTLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKI PETHES (CREDENTIALING ANALYST)
(715) 523-2485
Entity
Organization
Contact information
Practice address
3131 E MADISON ST STE 205, SEATTLE, WA 98112-4266
(206) 462-5850
(206) 487-5150
Mailing address
1861 MCGILVRA BLVD E, SEATTLE, WA 98112-3123
(206) 919-0198
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
11/29/2017
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