Paul T. Nghiem, MD, PhD

Paul T. Nghiem, MD, PhD
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Paul T. Nghiem, MD, PhD

  • Director, Skin Oncology Clinical Program, Fred Hutch
  • Professor, Dermatology/Medicine, and Adjunct Professor, Oral Health Sciences and Pathology; George F. Odland Endowed Chair in Dermatology, University of Washington School of Medicine
  • Head of Dermatology, UW Medicine
  • Affiliate Investigator, Clinical Research Division, Fred Hutch


“I will share my knowledge with you and support you in the decision-making process.”

— Dr. Nghiem

How do you work with patients?

I enjoy getting to know my patients, understanding their lifestyle and explaining the latest science and available therapies. Our multidisciplinary team brings together leading researchers and cancer specialists to ensure that you are offered the most innovative treatment options. I emphasize education and will share my knowledge and experience with you, so you are able to make the best decisions about your care.

In addition to seeing patients in my office, I consult with patients from other parts of the country and their physicians who want expert guidance. Extensive consultation lets me look at the whole picture, consider all treatment options and customize patient care. I can successfully work with your local physician, allowing you to be treated where you live.

What drew you to the field of oncology?

When I was a new attending physician, a mentor recruited me to help write a textbook chapter on Merkel cell carcinoma (MCC). I had seen only one case of MCC and knew very little about it. As I dug into the existing studies on MCC, my interest grew. I discovered that MCC is a unique cancer that strikes aggressively and is managed differently, has distinct risk factors and is the most lethal of all skin cancers. Since then, unraveling the mysteries of MCC has become the major focus of my clinical work and research.

Provider Background

Specialty: Dermatology

Area of clinical practice

Graft-versus-host disease, skin cancers, skin conditions related to cancer treatment

Medical oncology

I am part of the Fred Hutch Multidisciplinary Skin Oncology Clinic, and I hope to continue expanding the clinic’s focus to include a greater breadth of skin cancers and dermatology. I am excited about recent discoveries in skin cancer research that will improve patient care.

In addition to seeing patients, I lead a lab at UW Medicine that studies the biology of Merkel cell carcinoma. Our goal is to develop new approaches to treating this disease.

Diseases Treated



Education, Experience and Certifications

Undergraduate Degree
Harvard College

Medical Degree
Stanford University

Massachusetts General Hospital

Harvard University

Board Certification
Dermatology, 1998, 2019, American Board of Dermatology

PhD, Cancer Biology, Stanford University; Internship, Medicine, Brigham & Women's Hospital


Seattle Met's 2023 Top Doctors award
Dr. Nghiem has received this peer-nominated award for exceptional patient care.

Seattle Magazine's 2022 Top Doctors award
Dr. Nghiem has been recognized as a Top Doctor in this peer-nominated award multiple years in a row.

Clinical Trials

We make promising new treatments available to you through studies called clinical trials led by Fred Hutch doctors. Many of these trials at Fred Hutch have led to FDA-approved treatments and have improved standards of care globally. Together, you and your doctor can decide if a study is right for you.

Your Care Team

At Fred Hutch, you receive care from a team of providers with extensive experience in your disease. Your team includes doctors, a patient care coordinator, a registered nurse, an advanced practice provider and others, based on your needs. You also have access to experts like nutritionists, social workers, acupuncturists, psychiatrists and more who specialize in supporting people with cancer or blood disorders.


Fred Hutch accepts most national private health insurance plans as well as Medicare. We also accept Medicaid for people from Washington, Alaska, Montana and Idaho. We are working to ensure that everyone, no matter what their financial situation, has access to the care they need.

For the Media

The Media Relations team at Fred Hutch is available to assist members of the news media who would like to arrange interviews with providers.

Email or call 206.667.2210