Puyallup Dermatology Clinic Inc P.s.
Puyallup Dermatology Clinic Inc P.s. provides Specialist services in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2005.
- Licensed in
- WA
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2622 S MeridianPuyallup, WA 98373-1500
Phone: (253) 841-2453
Fax: (253) 840-5519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence MD00038522 (WA) |
|---|
Record details
| NPI number | 1740281344 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Meeker — Owner · (253) 841-2453 |
| NPI enumerated | August 3, 2005 |
| Last updated in NPPES | June 2, 2025 |
| Certification date | June 2, 2025 |
| Mailing address | 929 E Main Ave, Suite 210, Puyallup, WA 98372-3116 |
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MS. Carolanne Elizabeth Randich, LMP
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Susan Carol Richards, LMP
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