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

North Pacific Dermatology Services, LLC

Organization Dermatology Physician · NPI 1790973436

North Pacific Dermatology Services, LLC provides Dermatology Physician services in Renton, 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

1412 SW 43rd St Ste 205
Renton, WA 98057-4803 Not confirmed with CMS for 16 years — call before visiting
Phone: (425) 264-0660
Fax: (425) 264-0601
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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 MD00046078 (WA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MTS-4912 (WA)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X (WA)

Record details

NPI number1790973436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Kageyama — President · (425) 264-0660
Other names North Pacific Dermatology, P.S.
NPI enumeratedOctober 9, 2007
Last updated in NPPESJanuary 11, 2010
Mailing address1412 Sw 43rd St Ste 205, Renton, WA 98057-4803

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