OrganizationActive
Eastside Dermatology Inc Ps
NPI 1649379231 · Pediatric Dermatology Physician · Bellevue, WA
Provider details
- NPI number
- 1649379231
- Entity type
- Organization
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melanie Jennings, Office Manager(425) 454-1104
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Practice location
14030 Ne 24th St
Suite 202
Bellevue, WA 98007-3724
Phone: (425) 454-1104
Fax: (425) 454-1290
Approximate (ZIP-level) locationGet directions
Mailing address
14030 Ne 24th St
Bellevue, WA 98007-3724
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.