Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Northwest Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1689080467

Pacific Northwest Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Federal Way, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

2345 SW 320th St
Federal Way, WA 98023-2568
Phone: (253) 838-2123
Fax: (253) 874-3624
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence DE00006475 (WA)

Record details

NPI number1689080467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Johnson — Owner · (425) 277-1844
NPI enumeratedJuly 1, 2014
Last updated in NPPESJuly 1, 2014
Mailing address2345 Sw 320th St, Federal Way, WA 98023-2568