# NORTH PACIFIC DERMATOLOGY PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881845907
- **Authorized official:** DR. NOBUYOSHI KAGEYAMA MD (SECRETARY/TREASURER)
- **Authorized official phone:** (425) 264-0660

## Contact information

- **Practice address:** 1412 SW 43RD ST, STE 205, RENTON, WA 98057-4803
- **Practice address phone:** (425) 264-0660
- **Practice address fax:** (425) 264-0601
- **Mailing address:** 1200 112TH AVE NE, STE C187, BELLEVUE, WA 98004-3732
- **Mailing address phone:** (425) 457-7900
- **Mailing address fax:** (425) 264-0601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 07/21/2022