Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinic 5C Dermatology

Organization Dermatology Physician · NPI 1669340048

Clinic 5C Dermatology is a Dermatology Physician in Coeur D Alene, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1875 N Lakewood Dr Fl 3
Coeur D Alene, ID 83814-4928
Phone: (509) 343-0250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1669340048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cameron Chesnut — Owner · (509) 343-0250
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address1875 N Lakewood Dr Fl 3, Coeur D Alene, ID 83814-4928

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