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

Dr. Paetra Jane Ruddy, MD

Individual provider Dermatology Physician · NPI 1366738874

Dr. Paetra Jane Ruddy, MD is a Dermatology in Poulsbo, Washington. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2011, 15 years ago. Practices with Silver Falls Dermatology LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Missouri and Washington.

Years since qualifying
15
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MO, WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19917 7th Ave NE Ste 203
Poulsbo, WA 98370-6555
Phone: (360) 824-5474
Fax: (360) 994-4975
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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 MD61231855 (WA)
Dermatology Physician Taxonomy 207N00000X · Licence 2015026116 (MO)

Record details

NPI number1366738874
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Silver Falls Dermatology Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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