NPI 1447888540 · live from the CMS NPI Registry
Mustufa Abbas Jafry, MD
Dermatology, MOHS-Micrographic Surgery in Mill Creek, WA. National Provider Identifier 1447888540, active.
NPI record
| NPI | 1447888540 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012 |
| Practice phone | 425-385-2009 |
| Mailing address | 1793 13th St Se, Salem, OR 97302 |
| Enumerated | April 1, 2020 |
| Last updated | September 24, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | MD61654958 (WA) |
| Dermatology | 207N00000X | MD61654958 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.