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

Elizaveta Hermann

Individual provider Physician Assistant · NPI 1124321419

Elizaveta Hermann is a Physician Assistant in Issaquah, Washington. Qualified in 2013, 13 years ago. Practices with Puyallup Dermatology Clinic Inc P.s., a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2010
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Practice location Address checks out

1301 4th Ave NW Ste 302
Issaquah, WA 98027-9371
Phone: (206) 957-9329
Fax: (253) 839-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8435 Se 68th St Ste 118, Mercer Island, WA 98040-5249 — (206) 232-7546
  • 3216 Ne 45th Pl Ste 203, Seattle, WA 98105-4028 — (206) 525-1168

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60631950 (WA)

Record details

NPI number1124321419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 8, 2010
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address1793 13th St Se, Salem, OR 97302-2541

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Puyallup Dermatology Clinic Inc P.S. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Issaquah