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NORTHWEST WEIGHT LOSS SURGERY PLLC NPI 1023069747


NPI Information

NPI: 1023069747
Provider Name: NORTHWEST WEIGHT LOSS SURGERY, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
125 130TH ST SE
FIRST FLOOR
EVERETT, WA
ZIP 98208
Phone: (425) 385-2263
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NORTHWEST WEIGHT LOSS SURGERY, PLLC is a specialist in Everett, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHWEST WEIGHT LOSS SURGERY, PLLC NPI is 1023069747. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 130TH ST SE
FIRST FLOOR
EVERETT, WA
ZIP 98208-400
Phone: (425) 385-2263
Fax: (425) 385-8476

The provider's authorized official is Gaia E Lukevich .
The authorized official title is Administrator and has the following contact phone number (425) 385-2263.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 3/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist602225209WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1602225209OTHERWASHINGTONSTATE LICENSE BUSINESS ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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