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

Bainbridge Skin Surgery and Consultative Dermatology PLLC

Organization Dermatology Physician · NPI 1033500806

Bainbridge Skin Surgery and Consultative Dermatology PLLC is a Dermatology Physician in Bainbridge Island, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

271 Wyatt Way NE Ste 108
Bainbridge Island, WA 98110-2873
Phone: (206) 842-5666
Fax: (425) 742-8516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 46124 (WA)
Dermatology Physician Taxonomy 207N00000X · Licence 46124 (WA)

Record details

NPI number1033500806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Duane Whitaker — Owner · (206) 842-5666
NPI enumeratedFebruary 13, 2015
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020
Mailing address271 Wyatt Way Ne, Suite 108, Bainbridge Island, WA 98110-2873

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