IndividualActive
Vivian Lombillo, MD PHD
NPI 1013938620 · Pediatric Dermatology Physician · Olympia, WA
Provider details
- NPI number
- 1013938620
- Entity type
- Individual
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Female
- Sole proprietor
- No
- License
- MD00046225 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
703 Lilly Rd Ne Suite 105
Northwest Pediatric Dermatology, PLLC
Olympia, WA 98506
Phone: (360) 539-6141
Approximate (ZIP-level) locationGet directions
Mailing address
703 Lilly Rd Ne Suite 105
Olympia, WA 98506
Additional practice locations (1)
- 812 Ocean Beach Hwy Ste 200Longview, WA 98632-4082Phone: (360) 501-3547Fax: (360) 578-3355
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.