NORTHWEST WEIGHT LOSS SURGERY PLLC NPI 1487693800

NPI Information

NORTHWEST WEIGHT LOSS SURGERY, PLLC is an ambulatory surgical clinic center in Everett, WA. NORTHWEST WEIGHT LOSS SURGERY, PLLC NPI is 1487693800. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Weight Loss Surgery Center.

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 6/5/2006 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:

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