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

Pacific Surgical Weight Loss Center, PLLC

Organization Specialist · NPI 1730456971

Pacific Surgical Weight Loss Center, PLLC is a Specialist in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Lilly Rd NE Ste C-2
Olympia, WA 98506
Phone: (360) 412-3120
Fax: (360) 412-1046
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD00036124 (WA)

Record details

NPI number1730456971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Henderson — Insurance Staff · (360) 412-3120
Other names Pacific Surgical Weight Loss Center, Pllc
NPI enumeratedNovember 16, 2011
Last updated in NPPESNovember 16, 2011
Mailing address200 Lilly Rd Ne, Suite C-2, Olympia, WA 98506-5427

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