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

Northwest Pediatric Dermatology, PLLC

Organization Dermatology Physician · NPI 1588164925

Northwest Pediatric Dermatology, PLLC is a Dermatology Physician in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
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

703 Lilly Rd NE Ste 105
Olympia, WA 98506-5191
Phone: (360) 539-6141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dermatology Physician (primary) Taxonomy 207NP0225X · Licence MD00046225 (WA)
Dermatology Physician Taxonomy 207N00000X · Licence MD00046225 (WA)

Record details

NPI number1588164925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Lombillo — Physician/Owner · (360) 539-6141
Other names Vivian Lombillo, Md
NPI enumeratedFebruary 12, 2018
Last updated in NPPESFebruary 12, 2018
Mailing addressPo Box 2314, Olympia, WA 98507-2314

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