Provider Type Icon

SALMON CREEK PLASTIC SURGERY PC NPI 1831253426


NPI Information

NPI: 1831253426
Provider Name: SALMON CREEK PLASTIC SURGERY PC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 50D2106535

Address:
13712 NE 10TH AVE
VANCOUVER, WA
ZIP 98685
Phone: (360) 823-0860
Get Directions

SALMON CREEK PLASTIC SURGERY PC is a plastic surgery in Vancouver, WA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. SALMON CREEK PLASTIC SURGERY PC NPI is 1831253426. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13712 NE 10TH AVE
VANCOUVER, WA
ZIP 98685-628
Phone: (360) 823-0860
Fax: (360) 828-1407

The provider's authorized official is Richard Kenneth Green .
The authorized official title is Physician And Owner and has the following contact phone number (360) 574-7622.

The CLIA number assigned to this NPI record is 50D2106535 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 12/29/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryNo
2208200000XPlastic SurgeryYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.