Organization · Type 2 NPI

Northwest Surgical of Bellevue

Plastic and Reconstructive Surgery Physician · Bellevue, WA

NPI number 1619666237 Active

Practice location

636 120th Ave NE Ste A204
Bellevue, WA 98005-3087

Mailing address

10849 Emerald Chase Dr
Orlando, FL 32836-5881

Other practice locations

  • 1890 Lpga Blvd Ste 150, Daytona Beach, FL 32117-7131 · (386) 663-8266

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1619666237

Northwest Surgical of Bellevue's National Provider Identifier is 1619666237, issued on May 1, 2023. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Bellevue, WA. The record was last updated on Aug 7, 2025.