NPI 1801892260 · live from the CMS NPI Registry
Mark J. Doherty, M.D.
Dermatology in Bellingham, WA. National Provider Identifier 1801892260, active.
NPI record
| NPI | 1801892260 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1151 Ellis St Ste 202, Bellingham, WA 98225 |
| Practice phone | 360-746-2380 |
| Mailing address | 1793 13th St Se, Salem, OR 97302 |
| Enumerated | June 21, 2005 |
| Last updated | October 17, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | MD00020973 (WA) |
| Dermatology primary | 207N00000X | MD00020973 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.