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

NW Dermatology & Skin Cancer Clinic

Organization Dermatology Physician · NPI 1336292796

NW Dermatology & Skin Cancer Clinic is a Dermatology Physician in Edmonds, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

21600 Highway 99 Ste 280
Edmonds, WA 98026-8012
Phone: (425) 774-2616
Fax: (425) 774-2660
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 600 551-763 (WA)

Record details

NPI number1336292796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Headley — Owner · (425) 774-2616
Other names Nw Derm And Skin Cancer Clc
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJune 25, 2008
Mailing address21600 Highway 99, Suite 280, Edmonds, WA 98026-8012

Other providers in Edmonds