THERESA MAH


Address: 700 Ne 87th Ave, Vancouver, WA 98664-1913
Phone: 3602541240

THERESA MAH (NPI# 1700991148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700991148
Entity Type Individual
Full Name THERESA MAH
Credential DO
Practice Address 700 Ne 87th Ave
Vancouver
WA 98664-1913
Practice Telephone 3602541240
Practice Fax Number 3603973128
Mailing Telephone 3602541240
Mailing Fax Number 3603973128
Enumeration Date 2006-08-19
Last Update Date 2007-11-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology OP00002137 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8462038 05

Office Location

Street Address 700 NE 87TH AVE
City VANCOUVER
State WA
Zip Code 98664-1913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447255112 Lewis Mark Steinberg Internal Medicine 700 Ne 87th Ave, Vancouver, WA 98664-1913 2005-06-17
1598398141 Blakely Garrity Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-4896 2020-02-21
1851958797 Rosa Pham Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-1913 2019-05-28
1902368319 Alexandria Eunsong Yeo Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-4896 2019-04-03
1568961100 Jill Renee Bradley Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-4896 2018-02-09
1245757939 Matthew Elamparo Pharmacist 700 Ne 87th Ave, Vancouver, WA 98664-1913 2017-08-24
1174051023 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 2017-05-23
1952833741 Jeanne Lothrop Gurney Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-1913 2017-03-30
1730639626 Cameron M Schmidt Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-1913 2016-10-04
1164971610 David C Turro Jr. Physician Assistant 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 2016-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249938 Angelica Maria Parle-fresquez Speech-Language Pathologist Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 2020-09-10
1467923441 Elizabeth Steen Counselor 230 E. State St., Mossyrock, WA 98664 2018-12-17
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1881145431 Brent Homan Occupational Therapist 807 Se Morgan Rd., Vancouver, WA 98664 2016-10-19
1114474277 Rebecca Marie Stefan Nurse's Aide 10025 Ne 19th St, Vancouver, WA 98664 2016-09-07
1528454105 Alicia Ford Dietitian, Registered 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 2015-04-10
1033504261 Reid Roberts Bennett Anesthesiology 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 2015-04-03
1235550856 Nikolay Nikolaevich Chernukhin Jr. Chiropractor 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 2013-12-27
1013278712 Serena Harker Physical Therapy Assistant 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 2012-05-30
1295091080 Rebeca C Johnson Massage Therapist 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 2012-04-05
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629694864 Fishers Landing Internal Medicine Dermatology 1405 Se 164th Ave Ste 101, Vancouver, WA 98683-9644 2020-06-23
1922253319 Henrik Martens Dermatology 324 W 36th St, Vancouver, WA 98660-1938 2008-11-26
1528289063 Pacific Dermatology P.C. Dermatology 15613 Se Mill Plain Blvd, Vancouver, WA 98684-8905 2007-05-01
1598842544 Michele Mckee Thompson Dermatology 1499 Se Tech Center Pl, Ste 135, Vancouver, WA 98683-5529 2006-11-01
1922456078 Sarah Anne Kam Dermatology 2525 Ne 139th St Ste 240, Vancouver, WA 98686-2719 2016-05-31
1851751283 Michele M Thompson Md LLC Dermatology 1499 Se Tech Center Pl, Ste 135, Vancouver, WA 98683-5528 2016-02-26
1114153459 Viet Quoc Nguyen Dermatology 2525 Ne 139th St, Vancouver, WA 98686-2719 2009-06-01
1437319423 Katherine Leslie Boyd Dermatology 501 Se 172nd Ave, Suite 250, Vancouver, WA 98684-9542 2008-06-12
1760676910 Elizabeth Sims Dawson Dermatology 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664-2059 2007-08-30
1861684581 Graham Scott Clark Dermatology 2525 Ne 139th St, Ste 240, Vancouver, WA 98686-2719 2007-08-16
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Competitor

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City VANCOUVER
Zip Code 98664

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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