Individual provider · Type 1 NPI
Charles M. Llewellyn, MD
Otolaryngology/Facial Plastic Surgery Physician · Tacoma, WA
NPI number
1790288280
Active
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Fax (253) 968-3140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | A186385 (CA) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | A186385 (CA) |
| General Practice Physician | 208D00000X | 32149 (NE) |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | MD61640327 (WA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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About NPI 1790288280
Charles M. Llewellyn, MD's National Provider Identifier is 1790288280, issued on Mar 12, 2018. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Tacoma, WA. The record was last updated on Feb 20, 2025.