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Contact Information

NORTHWEST SURGICAL DEVELOPMENT
17885 NW EVERGREEN PKWY
BEAVERTON, OR97006-7494
 Phone: 971-246-5291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NORTHWEST SURGICAL DEVELOPMENT

NPI Number 1023530094
LBN Legal business name NORTHWEST SURGICAL DEVELOPMENT
Authorized official CHRISTINA GILLETT - (INSURANCE SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2017
Last updated 07/12/2017 - About 9 years ago
Identifiers
OR License # 16741689
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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