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MID RIVER SKIN CLINIC
NPI 1245767631
Nurse Practitioner - Family in Clarkston, WA

Active since May 16, 2017
1271 HIGHLAND AVE # B, CLARKSTON, WA 99403(509) 321-4590 Get Directions Write a Review

NPPES record last updated: June 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2019, Mar 17, 2018, Aug 15, 2017 and 1 more (4 updates tracked since 2017).

About Mid River Skin Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID RIVER SKIN CLINIC (NPI 1245767631) is a healthcare organization registered as a family in Clarkston, Washington and active in the NPI registry since May 2017. The organization maintains 2 additional practice locations and lists Eric Dudenhofer, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1245767631
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameERIC DUDENHOFER ARNP PS
Location Address1271 HIGHLAND AVE # BClarkston, WA 99403-2846
Mailing AddressPo Box 193Nine Mile Falls, WA 99026-0193 · (509) 321-4590 · Fax (509) 321-4593
Phone(509) 321-4590
Organization SubpartNo
Authorized OfficialEric DudenhoferPresident/ceo · (509) 321-4590
Enumeration DateMay 16, 2017
Last NPPES UpdateJune 9, 20194 updates tracked since enumeration
✔ NPI 1245767631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1271 HIGHLAND AVE # B, Clarkston, WA 99403
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Other Names 1

Doing Business AsMid River Skin Clinic

Secondary Practice Locations 2

Location 1101 W Cascade Way Ste 100Spokane, WA 99208-6000 · Phone (509) 321-4590
Location 212727 W 14th AveAirway Heights, WA 99001-9409 · Phone (509) 321-4590

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Dudenhofer Arnp Ps's NPI number?

The NPI number for Eric Dudenhofer Arnp Ps is 1245767631. It was assigned to this organization in the NPPES registry on May 16, 2017. The provider is doing business as Mid River Skin Clinic.

Where is Eric Dudenhofer Arnp Ps located?

Eric Dudenhofer Arnp Ps is located at 1271 Highland Ave # B, Clarkston, WA 99403. The listed phone number is (509) 321-4590.

What is Eric Dudenhofer Arnp Ps's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Eric Dudenhofer Arnp Ps was last updated on June 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.