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

Plastic Surgery Northwest PLLC

Organization Plastic Surgery Physician · NPI 1780714139

Plastic Surgery Northwest PLLC is a Plastic Surgery Physician in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2
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

530 S Cowley St Ste 100
Spokane, WA 99202-1316
Phone: (509) 838-7028
Fax: (509) 623-2177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 00027337 (WA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 00032173 (WA)

Record details

NPI number1780714139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Conner — Revenue Cycle Manager · (509) 321-4110
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address530 S Cowley St, Ste 100, Spokane, WA 99202-1316

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