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

Charles M. Llewellyn, MD

Individual provider Facial Plastic Surgery Physician · NPI 1790288280

Charles M. Llewellyn, MD is an Otolaryngology in Tacoma, Washington. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2018, 8 years ago. Licensed in California, Nebraska and Washington.

Years since qualifying
8
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
CA, NE, WA
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-1420
Fax: (253) 968-3140
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence MD61640327 (WA)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence A186385 (CA)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence A186385 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 32149 (NE)

Record details

NPI number1790288280
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 12, 2018
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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