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

Organization MOHS-Micrographic Surgery Physician · NPI 1417163635

Silver Falls Dermatology, LLC is an MOHS-Micrographic Surgery Physician in Seattle, 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

11011 Meridian Ave N Ste 102
Seattle, WA 98133-8967
Phone: (206) 859-5777
Fax: (206) 859-5776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence MD00042289 (WA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1417163635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malissa Kobbevik — Credentialing Manager · (360) 375-2038
Other names Frontier Dermatology; Pacific Dermatology Surgery Center; Pacific Dermatology And Cosmetic Center; Pacific Dermatology And Cosmetic Center; Reichel Dermatology Associates, Pllc
NPI enumeratedMay 15, 2007
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing addressPo Box 741825, Los Angeles, CA 90074-1825

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