OrganizationActive
Northwest Pediatric Dermatology, PLLC
NPI 1588164925 · Pediatric Dermatology Physician · Olympia, WA
Provider details
- NPI number
- 1588164925
- Entity type
- Organization
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vivian Lombillo, Physician/Owner(360) 539-6141
- License
- MD00046225 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
703 Lilly Rd Ne Ste 105
Olympia, WA 98506-5191
Phone: (360) 539-6141
Street-level locationGet directions
Mailing address
Po Box 2314
Olympia, WA 98507-2314
Other names (DBA / former)
- Other name
- Vivian Lombillo, MD
Registry dates
- Enumerated
- 2018-02-12
- Last updated
- 2018-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.