NPI age
7 years
Enumerated 2019-04-25
● Active Type 2 · Organization
Evergreen Dermatopathology Llc
Evergreen Dermatopathology Llc is 1 of 2 dermatology organizations in Idaho.
Primary specialty
Dermatology
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hamstra
Owner
Last NPPES update
2019-09-06
Source: monthly bulk 2026-05
How this organization compares
Across 2 active dermatology providers in Idaho.
NPI age
7 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 50% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-04Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
421 E Lakeside Ave Ste 105
Coeur D Alene, ID 838142848
Mailing address
2151 N Main St Ste 248
Coeur D Alene, ID 838145773
Authorized official
Ashley Anne Hamstra, MD
Owner
📞 2082779704
Specialties
-
Dermatology PrimaryA dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue...
-
DermatologyA 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...
Practice context
Single-site organization. Only one practice location on file.
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