Provider Type Icon

VALLEY PLASTIC SURGERY LLC NPI 1124396544


NPI Information

NPI: 1124396544
Provider Name: VALLEY PLASTIC SURGERY LLC

Other Name: VALLEY PLASTIC SURGERY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 38D2039482

Address:
280 S PACIFIC HWY
TALENT, OR
ZIP 97540
Phone: (541) 512-4771
Get Directions

VALLEY PLASTIC SURGERY LLC is an ambulatory surgical clinic center in Talent, OR. VALLEY PLASTIC SURGERY LLC NPI is 1124396544. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Valley Plastic Surgery.

The provider's business location address is:

280 S PACIFIC HWY
TALENT, OR
ZIP 97540-649
Phone: (541) 512-4771
Fax: (541) 512-0880

The provider's authorized official is Heather Leigh Headley .
The authorized official title is Manager and has the following contact phone number (541) 512-4771.

The CLIA number assigned to this NPI record is 38D2039482 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 1/30/2023.


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
1208200000XPlastic SurgeryNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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.