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

North Pacific Dermatology Services, LLC

Organization Dermatology Physician · NPI 1790973436

North Pacific Dermatology Services, LLC is a Dermatology Physician in Renton, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1412 SW 43rd St Ste 205
Renton, WA 98057-4803
Phone: (425) 264-0660
Fax: (425) 264-0601
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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 MD00046078 (WA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MTS-4912 (WA)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X (WA)

Record details

NPI number1790973436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Kageyama — President · (425) 264-0660
Other names North Pacific Dermatology, P.S.
NPI enumeratedOctober 9, 2007
Last updated in NPPESJanuary 11, 2010
Mailing address1412 Sw 43rd St Ste 205, Renton, WA 98057-4803

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