Virtual Dermatology · Washington State
Get expert dermatology care from board-certified providers — online. See results in days, not months.
Getting expert skin care is simple. Three steps to clearer, healthier skin.
Choose your visit type, answer questions about your condition, and upload photos of your skin.
Your provider reviews your case and creates a personalized treatment plan with prescriptions sent to your pharmacy.
Check in with progress photos, adjust your treatment as needed, and message us anytime with questions.
We treat a wide range of skin, hair, and nail conditions — all from the comfort of your home.
Meet Your Providers
Our team of board-certified providers brings years of specialized dermatology experience to every consultation.
Photo Placeholder
Board-Certified Dermatology Nurse Practitioner
Emma earned her Bachelor of Arts in Medical Anthropology & Global Health from the University of Washington and her nursing degree from Seattle University before completing her Doctor of Nursing Practice. She is board-certified through the American Association of Nurse Practitioners and brings hands-on experience in surgical and medical dermatology.
"I believe everyone deserves access to expert skin care — without the long wait times, confusing insurance, or impersonal visits. I'm passionate about helping patients feel confident in their skin."
Photo Placeholder
Board-Certified Dermatologist
Dr. Pile earned her nursing degree from the University of Washington before graduating summa cum laude from Campbell University School of Osteopathic Medicine. She completed her dermatology residency in Ann Arbor, Michigan, where she also contributed to peer-reviewed research and presented at national dermatology conferences. She is board-certified by the American Board of Dermatology and is a Fellow of the American Academy of Dermatology.
"I love helping patients of all ages take care of their skin — whether that's treating a stubborn rash, managing a chronic condition, or simply feeling more confident. When I'm not seeing patients, you'll find me running trails or exploring the San Juan Islands with my family."
No insurance needed. No hidden fees. Choose the provider that's right for you.
Dermatology Nurse Practitioner
Initial Async Consultation
New patients — photo-based
Follow-Up Async Consultation
Returning patients — photo-based
Initial Video Consultation
New patients — 15-min video
Follow-Up Video Consultation
Returning patients — 15-min video
Prescription Refill Review
Existing patients — Rx renewals
Board-Certified Dermatologist
Initial Async Consultation
New patients — photo-based
Follow-Up Async Consultation
Returning patients — photo-based
Initial Video Consultation
New patients — 15-min video
Follow-Up Video Consultation
Returning patients — 15-min video
Prescription Refill Review
Existing patients — Rx renewals
No insurance needed
No hidden fees
Superbills provided
Rx to your pharmacy
Everything you need to know about virtual dermatology visits.
You submit photos and answer questions about your condition. Your provider reviews everything and responds with a detailed treatment plan within 24 hours.
You book a time slot, complete your intake beforehand, and meet with your provider face-to-face over video for 15 minutes.
If your provider determines your condition requires in-person evaluation (like a biopsy or procedure), they'll refer you to a local dermatologist.
Yes. Our providers can prescribe most dermatology medications and send them electronically to your preferred pharmacy. Note: Isotretinoin (Accutane) requires in-person care and is not available through virtual visits.
After booking, you'll complete an intake form that guides you through taking and uploading photos with the right lighting and angles.
Yes. You can reach us anytime through our secure messaging system for questions or concerns.
We are a direct-pay practice. We provide superbills that you can submit to your insurance for potential out-of-network reimbursement.
Currently Washington State. We plan to expand to additional states in the future.
Book a consultation with one of our providers today. Most patients receive their treatment plan within 24 hours.
Book a Consultation