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

Pacific Northwest Surgical Associates PC

Organization Surgery Physician · NPI 1205931615

Pacific Northwest Surgical Associates PC is a Surgery Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 N Curtis Rd Ste 403
Boise, ID 83706-1342
Phone: (208) 367-7160
Fax: (208) 367-7164
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M7088 (ID)
Surgery Physician Taxonomy 208600000X · Licence M7089 (ID)

Record details

NPI number1205931615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Livingston — Administrator · (208) 367-7160
NPI enumeratedSeptember 13, 2006
Last updated in NPPESFebruary 21, 2008
Mailing address901 N Curtis Rd, Suite 403, Boise, ID 83706-1342

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