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

Fairhaven Dermatology, PLLC

Organization Dermatology Physician · NPI 1336693902

Fairhaven Dermatology, PLLC is a Dermatology Physician in Bellingham, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016
Specialties on file
3
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

3105 Old Fairhaven Pkwy Ste 101
Bellingham, WA 98225
Phone: (360) 656-6278
Fax: (360) 778-1804
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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 603616109 (WA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 603616109 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 603616109 (WA)

Record details

NPI number1336693902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Langei — Owner · (360) 927-9042
NPI enumeratedAugust 11, 2016
Last updated in NPPESApril 25, 2019
Mailing address3105 Old Fairhaven Pkwy, Suite 101, Bellingham, WA 98225

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