NPI 1700050317 · live from the CMS NPI Registry
Katrina Bassett, M.D.
Dermatology in Mill Creek, WA. National Provider Identifier 1700050317, active.
NPI record
| NPI | 1700050317 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 15906 Mill Creek Blvd, #105, Mill Creek, WA 98012 |
| Practice phone | 425-385-2009 |
| Mailing address | 1793 13th St Se, Salem, OR 97302 |
| Enumerated | April 15, 2008 |
| Last updated | February 20, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD60217371 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.