Dermatology, Dermatopathology
EVERGREEN DERMATOPATHOLOGY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1174187165 · enumerated 2019-04-25 · record updated 2019-09-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. ASHLEY HAMSTRA MD, Owner · (208) 277-9704
Addresses and phones
- Practice location 421 E LAKESIDE AVE STE 105, COEUR D ALENE, ID, 83814-2848 (208) 277-9704 Fax (208) 277-9704 Google Maps Apple Maps OpenStreetMap
- Mailing address 2151 N MAIN ST STE 248, COEUR D ALENE, ID, 83814-5773 (843) 822-5550 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X
- Dermatology, Dermatopathology 207ND0900X · Primary
In this directory
ID Kootenai County Coeur D Alene Dermatology, Dermatopathology
Locations and evidence
-
Practice location
COEUR D ALENE, ID, 838142848
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.