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

Pacific Northwest Plastic Surgery, Ps

Organization Specialist · NPI 1205951910

Pacific Northwest Plastic Surgery, Ps is a Specialist in University Place, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

5016 Bridgeport Way W Ste A
University Place, WA 98467-2039
Phone: (253) 761-9515
Fax: (253) 761-1306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 37332 (WA)

Record details

NPI number1205951910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Realica — President · (253) 761-9515
NPI enumeratedMarch 20, 2007
Last updated in NPPESJanuary 18, 2012
Mailing address5016 Bridgeport Way W, Suite A, University Place, WA 98467-2039

Other providers in University Place