EVERGREEN DERMATOPATHOLOGY PLLC – NPI #1700581170
Pathology

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Health Care Provider Taxonomy Code for Pathology

EVERGREEN DERMATOPATHOLOGY PLLC is a pathologist located in LIBERTY LAKE, WA. NPPES has assigned the NPI number 1700581170 to EVERGREEN DERMATOPATHOLOGY PLLC on April 04, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ZD0900X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Dermatopathology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN DERMATOPATHOLOGY PLLC below.

NPI Profile for
EVERGREEN DERMATOPATHOLOGY PLLC

NPI Number
1700581170
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN DERMATOPATHOLOGY PLLC
Primary location
2110 N MOLTER RD #112
LIBERTY LAKE, WA 99019
Phone: (208) 277-9704 Fax: (208) 277-9704
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ASHLEY HAMSTRA
PRACTICE OWNER
Phone: (208) 277-9704
Updated
Certification Date
Mar 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZD0900X
- Pathology / Dermatopathology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.