Northwest Pediatric Dermatology, PLLC
NPI 1588164925ActiveOrganization· Dermatology, Pediatric Dermatology· Olympia, WA
Dermatology, Pediatric Dermatology in Olympia, Washington, registered in NPPES in February 2018. The authorized official on file is Vivian Lombillo, MD, Physician/Owner.
Overview
| NPI | 1588164925 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2018 |
| Last updated in NPPES | Feb 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Pediatric Dermatology Primary | 207NP0225X | MD00046225 | WA |
| Dermatology | 207N00000X | MD00046225 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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