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

Staci M Hestdalen, MD

Individual provider Dermatology Physician · NPI 1194790006

Staci M Hestdalen, MD is a Dermatology in Spokane Valley, Washington. Graduated from Baylor College of Medicine in 1998, 28 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
28
Trained at
Baylor College of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone: (509) 456-7414
Fax: (509) 624-0763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD00043715 (WA)

Record details

NPI number1194790006
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESAugust 13, 2019
Mailing address1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spokane Valley