HARBOR PLASTIC SURGERY CENTER PLLC NPI 1134354533

NPI Information

NPI: 1134354533
Provider Name: HARBOR PLASTIC SURGERY CENTER PLLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 50D1084720

Address:
11511 CANTERWOOD BLVD NW
SUITE 310
GIG HARBOR, WA
ZIP 98332
Phone: (253) 858-5040
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HARBOR PLASTIC SURGERY CENTER PLLC is an ambulatory surgical clinic center in Gig Harbor, WA. HARBOR PLASTIC SURGERY CENTER PLLC NPI is 1134354533. The provider is registered as an organization entity type.

The provider's business location address is:

11511 CANTERWOOD BLVD NW
SUITE 310
GIG HARBOR, WA
ZIP 98332-813
Phone: (253) 858-5040
Fax: (888) 843-2412

The provider's authorized official is Justin Howard Piasecki .
The authorized official title is Member and has the following contact phone number (253) 509-4438.

The CLIA number assigned to this NPI record is 50D1084720 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/28/2009 and was last updated on 11/29/2011.

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	MD00049097	WASHINGTON	Yes

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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