Active NPI
Komori and Bailey, LLC
- Procedural Dermatology Physician
- Seattle, WA
National Provider Identifier
1225540685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- Legal business name
- KOMORI AND BAILEY, LLC
- Practice address
- 509 Olive Way Ste 1308
Seattle, WA 98101-1743 - Phone
- (206) 457-5885
- NPI assigned
- Oct 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Bailey
- Title
- Partner/Electrologist
- Phone
- (206) 457-5885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | WA | Primary |
Addresses
Primary practice location
509 Olive Way Ste 1308
Seattle, WA 98101-1743
Mailing address
509 Olive Way Ste 1308
Seattle, WA 98101-1743
Phone (206) 457-5885
Other names 1
- Aesthetics and Electrology
National Provider Directory
National Provider DirectoryLocations
509 Olive Way
Ste 1308
Seattle, WA 98101
Phone (206) 457-5885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1225540685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 1308",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011743",
"telephone_number": "206-457-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY STE 1308",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011743",
"telephone_number": "206-457-5885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOMORI AND BAILEY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-25",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PARTNER/ELECTROLOGIST",
"authorized_official_telephone_number": "206-457-5885"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aesthetics and Electrology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.