NORTHWEST CENTER FOR PLASTIC SURGERY LLC NPI 1417918772

NPI Information

  • NPI: 1417918772
  • Provider Name: NORTHWEST CENTER FOR PLASTIC SURGERY, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 743 COUNTRY CLUB RD
    EUGENE, OR
    ZIP 97401
  • Phone: (541) 683-0878

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NPI Details

NORTHWEST CENTER FOR PLASTIC SURGERY, LLC is an ambulatory surgical clinic center in Eugene, OR. NORTHWEST CENTER FOR PLASTIC SURGERY, LLC NPI is 1417918772. The provider is registered as an organization entity type.

The provider's business location address is:

743 COUNTRY CLUB RD
EUGENE, OR
ZIP 97401-019
Phone: (541) 683-0878
Fax: (541) 683-5206

The provider's authorized official is Thomas M Dreyer .
The authorized official title is Medical Director and has the following contact phone number (541) 683-0878.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 6/23/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical071570OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1071570OTHEROREGONSTATE LICENSE
2R132548MEDICARE PINOREGON
338C0001071MEDICARE NSCOREGON

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: 11/21/2025

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