Provider Demographics
NPI:1417599374
Name:DERMATOLOGY SOLUTIONS
Entity type:Organization
Organization Name:DERMATOLOGY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-539-3698
Mailing Address - Street 1:89825 SUMMIT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-2270
Mailing Address - Country:US
Mailing Address - Phone:509-303-3428
Mailing Address - Fax:509-436-7271
Practice Address - Street 1:4309 W 27TH PL STE 301
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-2909
Practice Address - Country:US
Practice Address - Phone:509-303-3428
Practice Address - Fax:509-436-7271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty