NORTH PACIFIC DERMATOLOGY SERVICES, LLC
NPI 1790973436
Dermatology in Renton, WA

Active since October 09, 2007
1412 SW 43RD ST STE 205, RENTON, WA 98057(425) 264-0660(425) 264-0601 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About North Pacific Dermatology Services, Llc NPPES

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

NORTH PACIFIC DERMATOLOGY SERVICES, LLC (NPI 1790973436), doing business as North Pacific Dermatology, P.s., is a healthcare organization registered as a dermatology in Renton, Washington and active in the NPI registry since October 2007. The organization lists Nicole P Kageyama, President, as its authorized official.

NPPES Registry Identity

NPI1790973436
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTH PACIFIC DERMATOLOGY SERVICES, LLC
Location Address1412 SW 43RD ST STE 205Renton, WA 98057-4803
Mailing Address1412 Sw 43rd St Ste 205Renton, WA 98057-4803 · (425) 264-0660 · Fax (425) 264-0601
Fax(425) 264-0601
Organization SubpartNo
Authorized OfficialNicole P KageyamaPresident · (425) 264-0660
Enumeration DateOctober 9, 2007
Last NPPES UpdateJanuary 11, 2010
NPI 1790973436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WA · MD00046078
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License MTS-4912 (WA)
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
1412 SW 43RD ST STE 205, Renton, WA 98057

Other Names 1

Former Legal Business NameNorth Pacific Dermatology, P.s.

Other Identifiers 3

OtherDE5794WA · Railroad Medicare
Medicare UPINH64679WA
Medicare PING8858889WA

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 MULTIPLE SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dermatology
1412 SW 43RD ST STE 205
RENTON, WA 98057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790973436, enumerated as an "organization" on October 09, 2007.

The provider is located at 1412 SW 43RD ST STE 205 RENTON, WA 98057 and the phone number is (425) 264-0660.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.