Evergreen Dermatopathology LLC
NPI 1174187165 · Dermatopathology Physician · Coeur D Alene, ID
Evergreen Dermatopathology LLC is a Dermatopathology Physician organization in Coeur D Alene, ID (NPI 1174187165).
Provider details
- NPI number
- 1174187165
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashley Hamstra, Owner(208) 277-9704
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-25
- Last updated
- 2019-09-06
Frequently asked questions
- What is Evergreen Dermatopathology LLC's NPI number?
- Evergreen Dermatopathology LLC's National Provider Identifier (NPI) is 1174187165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Dermatopathology LLC?
- Evergreen Dermatopathology LLC is classified in the NPPES registry as Dermatopathology Physician (Allopathic & Osteopathic Physicians).
- Where is Evergreen Dermatopathology LLC located?
- Evergreen Dermatopathology LLC's practice location on file with NPPES is 421 E Lakeside Ave Ste 105, Coeur D Alene, ID 83814-2848.
- What is Evergreen Dermatopathology LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Dermatopathology LLC is (208) 277-9704.
- Who is the authorized official for Evergreen Dermatopathology LLC?
- The authorized official listed on Evergreen Dermatopathology LLC's NPPES record is Ashley Hamstra, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Dermatopathology LLC's NPI active?
- Yes — Evergreen Dermatopathology LLC's NPI (1174187165) is active in the NPPES registry as of the last update on 2019-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.