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

Dr. Vivian A Lombillo, MDPHD

Individual provider Pediatric Dermatology Physician · NPI 1013938620

Dr. Vivian A Lombillo, MDPHD is a Dermatology in Olympia, Washington. Graduated from Yale University School of Medicine in 2002, 24 years ago. Practices with Peacehealth, a 187-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Trained at
Yale University School of Medicine
Licensed in
WA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

703 Lilly Rd NE Ste 105 Northwest Pediatric Dermatology Pllc
Olympia, WA 98506
Phone: (360) 539-6141
Show map & directions

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

Additional practice locations (1)

  • 812 Ocean Beach Hwy Ste 200, Longview, WA 98632-4082 — (360) 501-3547

Specialties & licences

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

Record details

NPI number1013938620
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare