Whalio Doctors

NPI 1023530094

Northwest Surgical Development

Organisation Plastic and Reconstructive Surgery Physician Beaverton, OR

Practice location

Address
17885 NW Evergreen Pkwy, Beaverton, OR 97006-7494
Phone
(971) 246-5291
Mailing address
65 Enterprise STE 125, Aliso Viejo, CA 92656-2706

Authorised official

Name
Christina Gillett
Title
Insurance Specialist
Phone
(949) 600-9941

Registered specialties

Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 16741689 (OR)

Registry record

NPI
1023530094
Entity type
Organization
NPI issued
12 Jul 2017
Record last updated
12 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.