National Provider Identifier Database

NORTHWEST SURGICAL DEVELOPMENT
Plastic and Reconstructive Surgery


Contact Information

NORTHWEST SURGICAL DEVELOPMENT
17885 NW EVERGREEN PKWY
BEAVERTON, OR97006-7494
Phone: 971-246-5291
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for NORTHWEST SURGICAL DEVELOPMENT

NPI Number 1023530094
Legal business name
LBN
NORTHWEST SURGICAL DEVELOPMENT
Authorized official CHRISTINA GILLETT - (INSURANCE SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 07/12/2017
Last updated 07/12/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 16741689

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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