WESTERN WASHINGTON ENDOSCOPY CENTERS LLC NPI 1790744175

NPI Information

NPI: 1790744175
Provider Name: WESTERN WASHINGTON ENDOSCOPY CENTERS LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Former Legal Business Name: PUYALLUP ENDOSCOPY CENTER
CLIA Number: 50D1092367
Address: 1703 S MERIDIAN
SUITE 203
PUYALLUP, WA
ZIP 98371
Phone: (253) 841-3933

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NPI Details

WESTERN WASHINGTON ENDOSCOPY CENTERS LLC is an ambulatory surgical clinic center in Puyallup, WA. WESTERN WASHINGTON ENDOSCOPY CENTERS LLC NPI is 1790744175. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Puyallup Endoscopy Center.

The provider's business location address is:

1703 S MERIDIAN
SUITE 203
PUYALLUP, WA
ZIP 98371-590
Phone: (253) 841-3933
Fax: (253) 864-8412

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 50D1092367 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 3/22/2006 and was last updated on 6/28/2022.

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	CON 1301 REQUIRED	WASHINGTON	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	7137326	MEDICAID	WASHINGTON

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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