NPI 1912927815 · live from the CMS NPI Registry
Klaus Bernhard Jade, MD
Dermatology in Olympia, WA. National Provider Identifier 1912927815, active.
NPI record
| NPI | 1912927815 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 205a Lilly Rd Ne, Suite 2, Olympia, WA 98506 |
| Practice phone | 360-459-4163 |
| Mailing address | Po Box 3360, Suite 2, Portland, OR 97208 |
| Enumerated | July 20, 2006 |
| Last updated | January 28, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD00028011 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.