OLYMPIC PLASTIC SURGERY SUITE NPI 1467578393

NPI Information

NPI: 1467578393
Provider Name: OLYMPIC PLASTIC SURGERY SUITE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2600 CHERRY AVENUE
SUITE 201
BREMERTON, WA
ZIP 98310
Phone: (360) 415-0762
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OLYMPIC PLASTIC SURGERY SUITE is an ambulatory surgical clinic center in Bremerton, WA. OLYMPIC PLASTIC SURGERY SUITE NPI is 1467578393. The provider is registered as an organization entity type.

The provider's business location address is:

2600 CHERRY AVENUE
SUITE 201
BREMERTON, WA
ZIP 98310
Phone: (360) 415-0762
Fax: (360) 792-1166

The provider's authorized official is Suzanne M Fletcher .
The authorized official title is Administrator and has the following contact phone number (360) 415-0762.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 7/27/2009.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	7041791	MEDICAID	WASHINGTON
2	G8879945	MEDICARE PIN	WASHINGTON
3	55649	OTHER	WASHINGTON	L & I

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: 5/5/2024

NPI Synchronization or Removal

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