Active NPI 1760549950 Individual Practitioner Male Practitioner

Dr. Daniel Berg , MD

Dermatology - MOHS-Micrographic Surgery • Seattle, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Berg, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Seattle, WA. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Berg delivers high-quality medical care to the local community at 1229 MADISON STREET.

Dr. Berg is affiliated with The Polyclinic Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1229 Madison Street
Suite 1090

Seattle, WA 98104

Telephone 2062153300

Fax 2062153301

Associated Practice Facility / Clinic

🏢 Seattle Radiologists A Professional Corporation Facility NPI 1063455897

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +19.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 21.8 Yrs

Regional Practice Density

16 Specialists

Practicing in Seattle, WA (46 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berg (41 Years) 41 Yrs

Seattle Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	346	296	$1853.09	$650.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	175	122	$1121.53	$471.01
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	75	71	$843.90	$177.28
99213 Established patient office or other outpatient visit, typically 15 minutes	58	36	$247.22	$100.25
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	58	57	$1441.00	$263.40
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	51	47	$1217.73	$244.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$318.83	$122.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	39	$149.66	$62.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	40	$69.57	$26.80
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	35	35	$7350.00	$855.78
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	30	29	$2718.90	$1115.35
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	29	26	$1722.72	$639.54
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	23	$783.54	$292.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$482.00	$182.05
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	11	$629.28	$146.53
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	15	$2056.73	$849.39
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	15	11	$1060.80	$452.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$351.87	$140.73
11102 Tangential biopsy of single skin lesion	14	13	$311.00	$95.06
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$818.27	$175.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	357	290	$1750.00	$635.26
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	222	138	$1052.00	$467.65
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	66	64	$1441.00	$267.25
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	57	56	$2470.00	$1103.68
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	48	46	$753.00	$184.62
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$212.00	$99.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$314.00	$122.93
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	35	34	$1599.00	$583.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	29	$66.00	$26.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$127.00	$62.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	27	$762.00	$249.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$312.84	$140.08
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	27	26	$7350.00	$826.49
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	22	$1192.00	$243.11
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	20	19	$721.00	$186.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$482.00	$181.54
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	18	18	$1456.00	$312.27
11102 Tangential biopsy of single skin lesion	18	15	$311.00	$108.44
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	14	14	$1956.00	$866.85
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	14	13	$2287.00	$1041.98
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	12	11	$974.00	$454.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	315	249	$1750.00	$699.85
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	186	116	$1052.00	$465.73
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	48	46	$753.00	$110.95
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	38	32	$1599.00	$667.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$317.57	$141.33
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$212.00	$100.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	24	$127.00	$63.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$314.00	$119.64
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	31	29	$2470.00	$926.61
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	30	28	$1441.00	$169.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$482.00	$183.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	24	$1192.00	$145.25
11102 Tangential biopsy of single skin lesion	21	19	$311.00	$108.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	18	$3393.16	$363.92
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$1456.00	$181.51
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	15	14	$1956.00	$325.67
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	12	$721.00	$106.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$762.00	$320.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	302	257	$1750.00	$734.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	163	117	$1052.00	$478.07
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	61	59	$753.00	$110.22
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	59	59	$1441.00	$171.27
99213 Established patient office or other outpatient visit, typically 15 minutes	46	33	$212.00	$101.78
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	34	34	$1980.00	$366.93
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	32	26	$1599.00	$666.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$313.00	$144.02
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	28	27	$1192.00	$147.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$127.00	$63.32
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	26	26	$2470.00	$925.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$314.00	$124.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$482.00	$185.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$762.00	$117.93
11102 Tangential biopsy of single skin lesion	17	13	$311.00	$97.44
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	16	16	$1962.00	$344.79
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$1456.00	$184.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	243	198	$1750.00	$711.83
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	141	96	$1052.00	$461.19
99213 Established patient office or other outpatient visit, typically 15 minutes	104	89	$212.00	$84.17
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	27	25	$753.00	$116.80
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	23	$1441.00	$172.32
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	20	$1980.00	$374.34
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	19	16	$1599.00	$680.45
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$2470.00	$959.04
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	13	$1192.00	$147.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	299	227	$1750.00	$683.24
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	185	116	$1052.00	$441.41
99213 Established patient office or other outpatient visit, typically 15 minutes	124	97	$212.00	$81.43
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	104	84	$1441.00	$173.04
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	32	31	$2470.00	$953.84
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	25	21	$1599.00	$673.95
11102 Tangential biopsy of single skin lesion	24	20	$311.00	$88.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$314.00	$115.06
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	16	$762.00	$142.65
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	20	20	$1456.00	$191.50
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	19	19	$1049.00	$158.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	11	$127.00	$50.02
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	16	$1980.00	$373.10
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$1192.00	$157.87
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$753.00	$122.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	315	261	$1750.00	$613.92
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	143	112	$1052.00	$419.08
99213 Established patient office or other outpatient visit, typically 15 minutes	131	112	$204.34	$76.52
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	89	86	$1441.00	$174.43
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	43	41	$2470.00	$913.72
11100 Biopsy of single growth of skin and/or tissue	27	18	$265.00	$99.29
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	24	23	$1599.00	$637.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$294.77	$113.60
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	21	21	$1980.00	$697.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$116.20	$46.73
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	19	$1456.00	$183.81
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	16	$1192.00	$150.29
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	15	15	$1049.00	$161.87
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	14	$1962.00	$383.32
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	12	11	$2287.00	$828.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$762.00	$172.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	274	239	$1723.95	$614.01
99213 Established patient office or other outpatient visit, typically 15 minutes	130	107	$190.94	$78.14
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	126	97	$1044.68	$424.78
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	101	94	$1417.87	$180.86
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	33	32	$2399.09	$929.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$259.84	$115.65
11100 Biopsy of single growth of skin and/or tissue	31	21	$258.23	$99.31
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	29	27	$1962.00	$348.98
11101 Biopsy of each additional growth of skin and/or tissue	25	12	$84.84	$35.06
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	24	20	$1569.50	$605.92
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	23	$1948.22	$710.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	18	$1078.79	$158.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$109.00	$47.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	13	$762.00	$185.00
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	14	14	$2229.50	$867.06
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$1456.00	$186.89

Medical Specialties & State Licenses

CMS Verified: 2026-04-22

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License WA MD00035013

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License WA MD00035013

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1760549950 (WA)

Commercial Insurance / Payer ID Internal Id-Motor Vehicle Id

225990

Commercial Insurance / Payer ID L&i

0230738 (WA)

Hospital & Practice Group Affiliations

The Polyclinic Pllc

1145 Broadway, Seattle, WA 981224201

Phone: 2066823447

The Polyclinic Pllc

1145 Broadway, Seattle, WA 981224201

Phone: 2063291760

The Polyclinic Pllc

904 7th Ave, Seattle, WA 981041132

Phone: 2063091760

The Polyclinic Pllc

1229 Madison St, Seattle, WA 981043586

Phone: 2068605582

The Polyclinic Pllc

9709 3rd Ave Ne, Seattle, WA 981043586

Phone: 2064013191

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Craig Birkby , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1669422994

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address April 22, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2026

Dermatology (License #MD00035013 in WA)

✅

NPI Profile Active July 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2014

Registered at 1229 MADISON STREET, SUITE 1090, SEATTLE, WA 98104 (Tel: 2062153300)

📍

Updated Business Mailing Address July 16, 2014

Registered at 1229 MADISON STREET, SUITE 1090, SEATTLE, WA 98104 (Tel: 2062153300)

👤

Provider Name / Credentials Updated July 16, 2014

Recorded as DANIEL BERG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2014

Dermatology (License #MD00035013 in WA)

🟢

Initial NPI Registration & Enumeration January 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760549950

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 03, 2007

Last Update: April 22, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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