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THE GALLERY OF COSMETIC SURGERY NPI 1861606162


NPI Information

NPI: 1861606162
Provider Name: THE GALLERY OF COSMETIC SURGERY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 50D2173567

Address:
3500 188TH ST SW
SUITE 670
LYNNWOOD, WA
ZIP 98037
Phone: (425) 775-3561
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THE GALLERY OF COSMETIC SURGERY is a specialist in Lynnwood, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THE GALLERY OF COSMETIC SURGERY NPI is 1861606162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 188TH ST SW
SUITE 670
LYNNWOOD, WA
ZIP 98037-716
Phone: (425) 775-3561
Fax: (425) 672-1385

The provider's authorized official is Dyanne K Middaugh .
The authorized official title is Practice Manager and has the following contact phone number (425) 775-3561.

The CLIA number assigned to this NPI record is 50D2173567 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialist43154WASHINGTONYes

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

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.