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EASTERN WASHINGTON DERMATOLOGY PLLC
NPI 1356422588
Specialist in Walla Walla, WA

Active since October 17, 2006
228 W BIRCH ST, WALLA WALLA, WA 99362(509) 525-9904(509) 525-9433 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Washington Dermatology Pllc NPPES

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

EASTERN WASHINGTON DERMATOLOGY PLLC (NPI 1356422588) is a healthcare organization registered as a specialist in Walla Walla, Washington and active in the NPI registry since October 2006. The organization lists Eileen P Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1356422588
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTERN WASHINGTON DERMATOLOGY PLLC
Location Address228 W BIRCH STWalla Walla, WA 99362-2935
Mailing Address228 W Birch StWalla Walla, WA 99362-2935 · (509) 525-9904 · Fax (509) 525-9433
Phone(509) 525-9904
Fax(509) 525-9433
Organization SubpartNo
Authorized OfficialEileen P SmithOwner · (509) 525-9404
Enumeration DateOctober 17, 2006
Last NPPES UpdateMay 2, 2011
✔ NPI 1356422588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
228 W BIRCH ST, Walla Walla, WA 99362
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Other Identifiers 2

Medicare PIN8857673WA
Medicare NSC6263030001WA

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EILEEN PAZDERKA SMITH MD
Dermatology
228 W BIRCH ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-9404
KATHERINE ELIZABETH FLORES ARNP/CNM
Nurse Practitioner
228 W BIRCH ST
WALLA WALLA, WA 99362
Walla Walla County (866) 904-7721

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 Eastern Washington Dermatology PLLC's NPI number?

The NPI number for Eastern Washington Dermatology PLLC is 1356422588. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Eastern Washington Dermatology PLLC located?

Eastern Washington Dermatology PLLC is located at 228 W Birch St, Walla Walla, WA 99362. The listed phone number is (509) 525-9904.

What is Eastern Washington Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Eastern Washington Dermatology PLLC was last updated on May 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.