Evergreen Dermatopathology PLLC
NPI 1700581170 · Dermatopathology (Pathology) Physician · Liberty Lake, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Dermatopathology PLLC is a Dermatopathology (Pathology) Physician organization in Liberty Lake, WA (NPI 1700581170).
Provider details
- NPI number
- 1700581170
- Entity type
- Organization
- Primary specialty
- Dermatopathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashley Hamstra, Practice Owner(208) 277-9704
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-04-04
- Last updated
- 2023-04-04
- Certified
- 2023-03-30
Frequently asked questions
- What is Evergreen Dermatopathology PLLC's NPI number?
- Evergreen Dermatopathology PLLC's National Provider Identifier (NPI) is 1700581170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Dermatopathology PLLC?
- Evergreen Dermatopathology PLLC is classified in the NPPES registry as Dermatopathology (Pathology) Physician (Allopathic & Osteopathic Physicians).
- Where is Evergreen Dermatopathology PLLC located?
- Evergreen Dermatopathology PLLC's practice location on file with NPPES is 2110 N Molter Rd #112, Liberty Lake, WA 99019.
- What is Evergreen Dermatopathology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Dermatopathology PLLC is (208) 277-9704.
- Does Evergreen Dermatopathology PLLC accept Medicare?
- Evergreen Dermatopathology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evergreen Dermatopathology PLLC?
- The authorized official listed on Evergreen Dermatopathology PLLC's NPPES record is Ashley Hamstra, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Dermatopathology PLLC's NPI active?
- Yes — Evergreen Dermatopathology PLLC's NPI (1700581170) is active in the NPPES registry as of the last update on 2023-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.