Northwest Surgical Development

Organization Plastic and Reconstructive Surgery Physician · NPI 1023530094

Northwest Surgical Development is a Plastic and Reconstructive Surgery Physician in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in: OR
In the registry since: 2017

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Practice location Address checks out

17885 NW Evergreen Pkwy
Beaverton, OR 97006-7494
Phone: (971) 246-5291

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary)	Taxonomy 2086S0122X · Licence 16741689 (OR)

Record details

NPI number	1023530094
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Christina Gillett — Insurance Specialist · (949) 600-9941
Other names	Athenix Body Sculpting; Athenix Body Sculpting
NPI enumerated	July 12, 2017
Last updated in NPPES	July 12, 2017
Mailing address	65 Enterprise Ste 125, Aliso Viejo, CA 92656-2706