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Contact Information

JUSTIN B PAVLOVICH, MD
1608 S J ST FL 5
TACOMA, WA98405-4930
 Phone: 253-274-7505
 Fax: 253-274-7948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JUSTIN B PAVLOVICH · (Male)

NPI Number 1528238805
Status Active
Credentials MD
Entity Individual
Enumeration date 03/03/2008
Last updated 05/01/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # 29320
  • WA License # MD61656857
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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