Active NPI 1558340554 Individual Practitioner Female Practitioner

Dr. Eileen Pazderka Smith , MD

Dermatology • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Dr. Eileen Smith, MD is a registered healthcare professional specializing in Dermatology in Walla Walla, WA. Practice services are available at 228 W BIRCH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

228 W Birch St

Walla Walla, WA 993622935

Telephone 5095259404

Fax 5095259433

Associated Practice Facility / Clinic

🏢 Eastern Washington Dermatology Pllc Facility NPI 1356422588

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Walla Walla, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Walla Walla, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes	241	237	$184.36	$90.29
17003 Destruction of precancer skin growth, 2-14 growths	234	74	$14.62	$6.71
17000 Destruction of skin growth	112	109	$163.43	$60.94
11102 Tangential biopsy of single skin lesion	33	31	$214.24	$97.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$113.72	$56.38
17110 Destruction of up to 14 skin growths	23	23	$233.82	$112.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$261.56	$127.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$226.30	$110.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	9,000	30	$3.00	$1.63
17003 Destruction of precancer skin growth, 2-14 growths	995	221	$14.62	$6.80
99213 Established patient office or other outpatient visit, typically 15 minutes	968	768	$184.36	$90.16
17000 Destruction of skin growth	454	344	$163.43	$60.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	169	131	$113.72	$56.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	151	151	$226.30	$111.80
11102 Tangential biopsy of single skin lesion	138	121	$214.09	$100.45
17110 Destruction of up to 14 skin growths	98	96	$233.82	$115.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	55	$261.56	$127.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	67	62	$619.66	$298.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	49	$507.52	$124.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	11	$5.00	$1.06
96573 Application of light by qualified health care professional to destroy precancer skin growth	44	30	$487.42	$237.77
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$146.87	$72.94
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	20	$523.48	$134.50
11103 Biopsy of related skin growth, each additional growth	20	17	$225.00	$51.53
69100 Biopsy of ear	19	18	$203.44	$88.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	11	$45.00	$14.28
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$575.72	$151.23
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	15	$587.66	$316.34
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$554.16	$125.71
11104 Punch biopsy, first skin growth	13	12	$267.80	$129.00
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$619.99	$304.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	8,200	32	$3.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	900	685	$184.36	$91.50
17003 Destruction of precancer skin growth, 2-14 growths	900	210	$14.62	$7.00
17000 Destruction of skin growth	425	315	$163.43	$59.75
11102 Tangential biopsy of single skin lesion	221	187	$214.24	$102.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	110	$113.72	$57.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$226.30	$112.54
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	71	57	$619.66	$291.55
17110 Destruction of up to 14 skin growths	60	59	$233.82	$115.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	38	$261.56	$129.69
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	42	$507.52	$128.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	18	$5.00	$1.12
11103 Biopsy of related skin growth, each additional growth	45	38	$225.00	$52.85
96573 Application of light by qualified health care professional to destroy precancer skin growth	41	32	$487.42	$244.59
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$147.42	$73.79
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	25	$352.60	$162.27
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$523.48	$130.21
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	19	19	$587.66	$313.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	14	$45.00	$14.59
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$554.16	$137.65
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$575.72	$154.93
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$619.99	$326.98
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$386.34	$178.79
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$290.69	$124.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,001	22	$3.00	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	834	652	$180.91	$92.53
17003 Destruction of precancer skin growth, 2-14 growths	814	189	$17.61	$6.78
17000 Destruction of skin growth	362	278	$156.05	$59.62
11102 Tangential biopsy of single skin lesion	188	158	$213.56	$103.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$223.87	$114.47
17110 Destruction of up to 14 skin growths	101	95	$233.15	$117.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	67	$259.48	$132.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	81	$111.74	$57.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	69	63	$620.14	$314.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	59	52	$484.80	$128.70
11103 Biopsy of related skin growth, each additional growth	51	34	$225.00	$55.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	13	$5.00	$1.27
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	45	34	$351.11	$140.05
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	43	40	$543.13	$143.79
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	33	30	$623.22	$324.14
96573 Application of light by qualified health care professional to destroy precancer skin growth	30	21	$465.76	$246.66
69100 Biopsy of ear	19	16	$202.90	$78.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$333.98	$171.02
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$523.48	$132.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$45.00	$14.54
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$560.33	$296.56
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$296.31	$115.70
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$144.03	$74.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,400	17	$2.30	$1.49
17003 Destruction of precancer skin growth, 2-14 growths	885	198	$14.62	$6.23
99213 Established patient office or other outpatient visit, typically 15 minutes	427	362	$160.04	$76.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	325	$204.53	$110.97
17000 Destruction of skin growth	331	280	$163.43	$59.65
11102 Tangential biopsy of single skin lesion	145	133	$193.00	$100.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	62	$97.38	$46.59
17110 Destruction of up to 14 skin growths	68	66	$223.10	$116.02
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	55	52	$619.66	$310.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$250.00	$110.07
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$160.00	$76.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	13	$3.00	$1.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	36	$496.61	$128.22
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	22	$547.28	$140.47
11103 Biopsy of related skin growth, each additional growth	23	20	$104.00	$55.26
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	18	$515.18	$171.57
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	16	$619.99	$291.98
99201 New patient office or other outpatient visit, typically 10 minutes	18	18	$100.00	$47.06
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$352.60	$176.81
96573 Application of light by qualified health care professional to destroy precancer skin growth	14	12	$275.00	$222.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$45.87	$14.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	7,400	31	$1.95	$1.37
17003 Destruction of precancer skin growth, 2-14 growths	1,035	222	$14.62	$5.64
99213 Established patient office or other outpatient visit, typically 15 minutes	586	482	$160.00	$74.26
17000 Destruction of skin growth	422	326	$163.43	$58.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	213	$204.53	$106.89
11102 Tangential biopsy of single skin lesion	134	121	$193.00	$93.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	69	$97.38	$44.77
17110 Destruction of up to 14 skin growths	79	74	$223.10	$110.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$250.00	$107.35
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$160.00	$74.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	48	47	$619.66	$280.45
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	47	42	$998.00	$588.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	11	$3.00	$1.58
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	38	32	$261.76	$125.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	34	21	$575.00	$400.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	32	$496.61	$140.77
11103 Biopsy of related skin growth, each additional growth	32	23	$104.00	$53.87
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	29	$547.28	$191.16
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	20	$352.60	$137.20
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	26	25	$542.89	$139.49
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	25	25	$619.99	$238.81
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	18	$515.18	$143.43
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	12	$290.69	$109.99
99201 New patient office or other outpatient visit, typically 10 minutes	16	16	$100.00	$46.03
69100 Biopsy of ear	15	14	$156.00	$82.97
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	14	$587.66	$259.20
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	12	$1185.00	$784.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	8,002	38	$2.00	$1.40
17003 Destruction of precancer skin growth, 2-14 growths	929	216	$14.62	$5.31
99213 Established patient office or other outpatient visit, typically 15 minutes	492	424	$141.87	$72.99
17000 Destruction of skin growth	373	303	$163.43	$57.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	190	$204.53	$107.01
11100 Biopsy of single growth of skin and/or tissue	128	114	$207.10	$104.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	106	$93.87	$44.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$220.91	$105.76
17110 Destruction of up to 14 skin growths	66	62	$223.10	$112.04
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$141.98	$74.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	50	47	$619.66	$296.89
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	46	45	$547.28	$173.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	41	$496.61	$137.68
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	41	37	$261.76	$114.69
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	38	36	$619.99	$278.44
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	28	$515.18	$143.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	28	12	$3.00	$1.77
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	27	25	$587.66	$276.40
11101 Biopsy of each additional growth of skin and/or tissue	21	15	$64.94	$32.91
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	16	$542.89	$179.67
99201 New patient office or other outpatient visit, typically 10 minutes	16	16	$85.50	$44.83
69100 Biopsy of ear	14	14	$156.00	$87.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	14	$352.60	$165.07
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$290.69	$121.79
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1185.00	$784.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,016	237	$14.58	$5.38
99213 Established patient office or other outpatient visit, typically 15 minutes	560	485	$137.68	$70.01
17000 Destruction of skin growth	438	330	$162.92	$57.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	284	232	$82.32	$41.84
96900 Application of ultraviolet light to skin	229	15	$38.23	$20.27
11100 Biopsy of single growth of skin and/or tissue	174	159	$202.71	$96.54
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	112	69	$433.47	$348.03
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	111	70	$261.37	$130.40
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$141.98	$72.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	49	$202.82	$100.86
17110 Destruction of up to 14 skin growths	45	42	$219.76	$106.03
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	39	$615.85	$275.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	36	$493.74	$134.30
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	37	36	$531.28	$177.13
11101 Biopsy of each additional growth of skin and/or tissue	37	29	$64.94	$29.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	17	$7.47	$1.81
99201 New patient office or other outpatient visit, typically 10 minutes	35	35	$82.16	$42.27
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	29	28	$608.40	$243.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$209.52	$103.32
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	22	22	$528.81	$161.36
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	12	$352.60	$123.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	13	$45.87	$23.06
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$491.48	$158.17
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$285.41	$111.19
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$515.18	$164.72
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$587.66	$219.58
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$563.78	$148.75

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD00035233

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License WA MD00035233

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Katherine Flores , ARNP, CNM

Nurse Practitioner

NPI 1952014607

Advanced Registered Nurse Practitioner, Certified Nurse Midwife

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 02, 2011

Registered at 228 W BIRCH ST, WALLA WALLA, WA 993622935 (Tel: 5095259404)

📍

Updated Business Mailing Address May 02, 2011

Registered at 228 W BIRCH ST, WALLA WALLA, WA 993622935 (Tel: 5095259404)

👤

Provider Name / Credentials Updated May 02, 2011

Recorded as EILEEN SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2011

Specialist (License #MD00035233 in WA)

🟢

Initial NPI Registration & Enumeration January 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558340554

Entity Type:

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

Enumeration Date: January 10, 2006

Last Update: May 02, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

228 W Birch St

Walla Walla, WA 993622935

Phone: 5095259404

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.