NORTHWEST SURGICAL DEVELOPMENT is a plastic and reconstructive surgery surgery in Beaverton, OR. The provider is a surgeon who specializes in plastic and reconstructive surgery. NORTHWEST SURGICAL DEVELOPMENT NPI is 1023530094. The provider is registered as an organization entity type and is a single specialty group. The provider Is Doing Business As Athenix Body Sculpting.
The provider's business location address is:
17885 NW EVERGREEN PKWY BEAVERTON, OR ZIP 97006-494 Phone: (971) 246-5291
The provider's authorized official is Christina Gillett . The authorized official title is Insurance Specialist and has the following contact phone number (949) 600-9941.
The CLIA number assigned to this NPI record is 38D2108695 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/12/2017 and was last updated on 7/12/2017.
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:
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: 3/30/2025
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