DERMATOLOGY & SKIN CANCER CENTER
NPI 1528103579
Specialist in Clarkston, WA

Active since February 20, 2007
1119 HIGHLAND AVE STE 1, CLARKSTON, WA 99403(509) 758-5141(509) 758-5299 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dermatology & Skin Cancer Center NPPES

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

DERMATOLOGY & SKIN CANCER CENTER (NPI 1528103579) is a healthcare organization registered as a specialist in Clarkston, Washington and active in the NPI registry since February 2007. The organization lists Walter Leroy Williams, Doctor-owner, as its authorized official.

NPPES Registry Identity

NPI1528103579
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWALTER WILLIAMS
Location Address1119 HIGHLAND AVE STE 1Clarkston, WA 99403-2836
Mailing Address1119 Highland Ave Ste 1Clarkston, WA 99403-2836 · (509) 758-5141 · Fax (509) 758-5299
Fax(509) 758-5299
Organization SubpartNo
Authorized OfficialWalter Leroy WilliamsDoctor-owner · (509) 758-5141
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJune 13, 2008
NPI 1528103579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MD00041565
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.

1119 HIGHLAND AVE STE 1, Clarkston, WA 99403

Other Names 1

Doing Business AsDermatology & Skin Cancer Center

Other Identifiers 3

Medicaid7124696WA
Medicare ID-Type Unspecified8806497WA · Medicare Group #
Medicare UPINH12848WA

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

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528103579, enumerated as an "organization" on February 20, 2007.

The provider is located at 1119 HIGHLAND AVE STE 1 CLARKSTON, WA 99403 and the phone number is (509) 758-5141.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.