Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northwest Pediatric Dermatology, PLLC

Organization Dermatology Physician · NPI 1588164925

Northwest Pediatric Dermatology, PLLC provides Dermatology Physician services in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

703 Lilly Rd NE Ste 105
Olympia, WA 98506-5191
Phone: (360) 539-6141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1588164925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Lombillo — Physician/Owner · (360) 539-6141
Other names Vivian Lombillo, Md
NPI enumeratedFebruary 12, 2018
Last updated in NPPESFebruary 12, 2018
Mailing addressPo Box 2314, Olympia, WA 98507-2314

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