OrganizationActive
Hearthstone Dermatology Nonprofit Professional Services
NPI 1477169753 · Voluntary or Charitable Agency · Mccleary, WA
Provider details
- NPI number
- 1477169753
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Geneva Tzenov, Ceo-Administrator(360) 470-0671
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
828 Mox Chehalis Rd
Mccleary, WA 98557-9408
Phone: (360) 470-0671
Fax: (360) 464-2617
Street-level locationGet directions
Mailing address
828 Mox Chehalis Rd
Mccleary, WA 98557-9408
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.