Dr. Mark Conrad Valentine
Dermatologist
3327 Colby Ave
Everett
, Washington 98201-6403
Dr. Mark Conrad Valentine
Dermatologist
3327 Colby Ave
Everett
, Washington 98201-6403
(425) 259-6260
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Mark Conrad Valentine
- 3327 Colby Ave
- Everett, WA
- Zip : 98201-6403
- Fax : (425) 259-6260
- Phone : (425) 258-6767
Second Address
- Dr. Mark Conrad Valentine
- 3327 Colby Ave
- Everett, WA
- Zip : 98201-6403
- Fax : (425) 259-6260
- Phone : (425) 258-6767
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD00017167 | WA |
National Provider Identifier
| NPI | 1043294473 |
|---|---|
| Provider Name | Dr. Mark Conrad Valentine |
| First Address | Everett, WA 98201-6403 |
| Second Address | Everett, WA 98201-6403 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2005 |
| Last Update Date | 02/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1489608 | (05) | WA |
| A09224 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.