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

Modern Dermatology, PLLC

Organization Dermatology Physician · NPI 1790178010

Modern Dermatology, PLLC is a Dermatology Physician in Seattle, 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1021 Mercer St
Seattle, WA 98109
Phone: (206) 486-2982
Fax: (206) 973-5380
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 60048520 (WA)
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1790178010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Rogers — Owner · (206) 486-2982
NPI enumeratedMarch 11, 2015
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address1021 Mercer St, Seattle, WA 98109

Other providers in Seattle