PACIFIC NORTHWEST PLASTIC SURGERY, PS is a specialist in University Place, 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. PACIFIC NORTHWEST PLASTIC SURGERY, PS NPI is 1205951910. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5016 BRIDGEPORT WAY W
SUITE A
UNIVERSITY PLACE, WA
ZIP 98467-039
Phone: (253) 761-9515
Fax: (253) 761-1306
The provider's authorized official is Ross Maglaque Realica .
The authorized official title is President and has the following contact phone number (253) 761-9515.
The enumeration date for this NPI number is 3/20/2007 and was last updated on 1/18/2012.