NW DERM AND SKIN CANCER CLC – Dermatology Physician, NPI 1336292796

NW DERM AND SKIN CANCER CLC is a healthcare provider. based in Edmonds, Washington. specializing in Dermatology Physician. The organization holds a License No. 600 551-763 (WA). The NPI Number for NW DERM AND SKIN CANCER CLC is 1336292796

Main info

Organization
Name
NW DERM AND SKIN CANCER CLC
NPI
1336292796
Phone
(425) 774-2616
Address
21600 HIGHWAY 99
Authorized Official
DR. JOHN LAWRENCE HEADLEY OWNER M.D.
Enumeration Date
19 January 2007
Last Update Date
25 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for NW DERM AND SKIN CANCER CLC

  • 21600, Highway 99, Edmonds, Snohomish County, Washington, 98026, United States

    SUITE 280

    EDMONDS, WA 980268012

    Phone: (425) 774-2616

    Fax: (425) 774-2660

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98026)

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Reviews

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Frequently asked questions

Does NW DERM AND SKIN CANCER CLC have a public NPI I can cite?
Public records show NW DERM AND SKIN CANCER CLC under NPI 1336292796.
Is NW DERM AND SKIN CANCER CLC's NPI status active today?
Active status means NW DERM AND SKIN CANCER CLC's NPI record is not deactivated in the public file.
What services align with NW DERM AND SKIN CANCER CLC's listing?
NW DERM AND SKIN CANCER CLC's public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit NW DERM AND SKIN CANCER CLC in Edmonds, Washington?
For routing, start with Edmonds, Washington for NW DERM AND SKIN CANCER CLC, then verify phone and hours locally.
Who maintains NW DERM AND SKIN CANCER CLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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