1. Home
  2. Directory
  3. Washington
  4. Puyallup
  5. Specialist
  6. NPI Profile

PUYALLUP DERMATOLOGY CLINIC INC P.S.
NPI 1740281344
Specialist in Puyallup, WA

Active since August 03, 2005CLIA 50D0635453 · Certificate of Compliance
2622 S MERIDIAN, PUYALLUP, WA 98373(253) 841-2453(253) 840-5519 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Puyallup Dermatology Clinic Inc P.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUYALLUP DERMATOLOGY CLINIC INC P.S. (NPI 1740281344) is a healthcare organization registered as a specialist in Puyallup, Washington and active in the NPI registry since August 2005. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Jason Meeker, Owner, as its authorized official.

NPPES Registry Identity

NPI1740281344
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePUYALLUP DERMATOLOGY CLINIC INC P.S.
Location Address2622 S MERIDIANPuyallup, WA 98373-1500
Mailing Address929 E Main Ave, Suite 210Puyallup, WA 98372-3116 · (253) 841-2453 · Fax (253) 840-5519
Phone(253) 841-2453
Fax(253) 840-5519
Organization SubpartNo
Authorized OfficialJason MeekerOwner · (253) 841-2453
Enumeration DateAugust 3, 2005
Last NPPES UpdateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1740281344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00038522
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2622 S MERIDIAN, Puyallup, WA 98373
Open in Google Maps ↗

Other Identifiers 2

Other53030WA · Dept Of L&i
Medicaid7095656WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0635453

Puyallup Dermatology Clinic · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D0635453
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJason Meeker
Laboratory Phone(253) 841-2453
Laboratory LocationPuyallup Dermatology Clinic2622 S Meridian, Puyallup, WA 98373
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARINA VIKTOROVNA DOLMATOVA ARNP
Nurse Practitioner (Family)
2622 S MERIDIAN
PUYALLUP, WA 98373
Pierce County (253) 841-2453
JEFFERY ROBERT WILLIAMS R.PH.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2622 S MERIDIAN
PUYALLUP, WA 98373
Pierce County (253) 697-2801
LOUISA MAE DUBOIS PHARM D
Pharmacist
2622 S MERIDIAN
PUYALLUP, WA 98373
Pierce County (253) 697-2801
MRS. LYNN ELLEN KILGUS RD
Dietitian, Registered
2622 S MERIDIAN
PUYALLUP, WA 98373
Pierce County (253) 697-2801
AARON KIMBALL RASMUSSEN PA
Physician Assistant (Medical)
2622 S MERIDIAN
PUYALLUP, WA 98373
Pierce County (253) 841-8453
KATHLEEN RIED-STOWE RD, CDE
Dietitian, Registered
2622 S MERIDIAN
PUYALLUP, WA 98373
Pierce County (253) 697-2801
DR. JEFFREY STEPHEN NEWMAN M.D., PHD
Dermatology (Procedural Dermatology)
2622 S MERIDIAN
PUYALLUP, WA 98373
Pierce County (253) 841-2453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Puyallup Dermatology Clinic Inc P.S.'s NPI number?

The NPI number for Puyallup Dermatology Clinic Inc P.S. is 1740281344. It was assigned to this organization in the NPPES registry on August 3, 2005.

Where is Puyallup Dermatology Clinic Inc P.S. located?

Puyallup Dermatology Clinic Inc P.S. is located at 2622 S Meridian, Puyallup, WA 98373. The listed phone number is (253) 841-2453.

What is Puyallup Dermatology Clinic Inc P.S.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Puyallup Dermatology Clinic Inc P.S. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0635453) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Puyallup Dermatology Clinic Inc P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Puyallup Dermatology Clinic Inc P.S. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Puyallup Dermatology Clinic Inc P.S. was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.