Pacific Dermatology P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PACIFIC DERMATOLOGY P.C.

Practice address

15613 SE Mill Plain Blvd
Vancouver, WA 98684-8905

Phone

(360) 834-2000

NPI assigned

May 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Basheer A. Badiei, M.D.

Title

President

Phone

(360) 834-2000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1528289063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15613 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848905",
            "telephone_number": "360-834-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15613 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848905",
            "telephone_number": "360-834-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DERMATOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "BADIEI",
        "authorized_official_first_name": "BASHEER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-834-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pacific Clinical Services PLLC
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• Pacific Eye Group
• Pacific Eye Group, PC
• Pacific Gastro Health PLLC
• Pacific Gastro Health PLLC
• Pacific Gastroenterology PLLC

• Dermatology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.