ANACORTES DERMATOLOGY PC INC NPI 1790057792

NPI Information

  • NPI: 1790057792
  • Provider Name: ANACORTES DERMATOLOGY PC INC
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • Doing Business As: ANACORTES DERMATOLOGY
  • Address: 1801 COMMERCIAL AVE
    ANACORTES, WA
    ZIP 98221
  • Phone: (360) 399-6036

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NPI Details

ANACORTES DERMATOLOGY PC INC is a procedural dermatology dermatology in Anacortes, WA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). ANACORTES DERMATOLOGY PC INC NPI is 1790057792. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Anacortes Dermatology.

The provider's business location address is:

1801 COMMERCIAL AVE
ANACORTES, WA
ZIP 98221
Phone: (360) 399-6036

The provider's authorized official is Wirt Anderson Hines .
The authorized official title is President and has the following contact phone number (360) 395-8768.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 2/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207NP0225XDermatologyPediatric DermatologyNo
3261Q00000XClinic/CenterMD00045767WASHINGTONNo
4207NS0135XDermatologyProcedural DermatologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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