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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN DERMATOPATHOLOGY PLLC

Active Organization

EVERGREEN DERMATOPATHOLOGY PLLC is a Dermatopathology (Pathology) organization located in LIBERTY LAKE, Washington. NPI 1700581170 is currently active in the NPPES registry. Verify at CMS.

Dermatopathology (Pathology) · LIBERTY LAKE, WA

Registration Details

NPI Number
1700581170
Provider Type
Organization
NPI Issued
Apr 4, 2023 (3.3849585466638 yrs)
Last Updated
Apr 4, 2023

Practice Information

Address
2110 N MOLTER RD #112
LIBERTY LAKE, WA, 99019
Browse WA providers · Browse ZIP 99019
Phone
2082779704
Fax
2082779704
Primary Specialty
Dermatopathology (Pathology)
207ZD0900X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.