Meet Elizabeth Firmin, Our New Cosmetic Nurse Practitioner

Cascade Eye & Skin Centers is excited to welcome our newest team member, Elizabeth (Libby) Firmin, RN, NP-C! Libby is a nurse practitioner currently specializing in cosmetic dermatology. She received both her bachelor’s and master’s degrees from Texas Woman’s University before beginning a new chapter of her life here in Washington.

After working as an ICU nurse for six years in Texas, Libby later became interested in aesthetics and now hopes to gain more experience in general dermatology. Right now, she enjoys every aspect of cosmetic dermatology, calling it “the blend of art and medicine.”

Regarding her treatment philosophy, Libby loves helping her patients achieve a naturally beautiful aesthetic they can feel good about.

Get 10% Off All Services Booked with Libby


For a limited time only, we’re offering a free consultation and 10% off all services booked with Libby. She is now accepting patients at our University Place and Sunrise locations.

Schedule your consultation today to get 10% off any of Libby’s following services:

  • Botox and Dysport
  • Dermal Fillers
  • Sclerotherapy
  • Excel V
  • Kybella
  • Fraxel
  • Hair Restoration

Contact us to request your appointment or call 253-264-0984.

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Get Started
with Cascade

Contact Cascade Eye & Skin Centers, P.C., today to learn more about eye and skin care from the experts.

Get Started
with Cascade

Contact Cascade Eye & Skin Centers, P.C., today to learn more about eye and skin care from the experts.

If you are an existing patient looking to refill a prescription, pay a bill, access medical records, view lab results, or communicate with staff, 
please visit our patient portal for these services. You can also check out our patient portal overview page for additional information.

Get Started
with Cascade

Contact Cascade Eye & Skin Centers, P.C. today to learn more about eye and skin care from the experts.

Please note, we do not offer online scheduling for the eye specialties listed below, only for routine eye exams. Please use the following numbers to schedule specialty eye appointments or to place an order:

LASIKRefractive SurgeryCataractsEyelid Surgery (Dr. Lam): 253-671-2020
Contact Lenses: 253-564-2935General number: 253-848-3000

If you are an existing patient looking to refill a prescription, pay a bill, access medical records, view lab results, or communicate with staff, 

please visit our patient portal for these services. You can also check out our patient portal overview page for additional information.