Northwest Weight Loss Surgery, PLLC
Specialist in Everett, WA. Organization (NPI-2).
NPI number1023069747
StatusActive
Last updated in NPPESMar 21, 2012
Details
- NPI
- 1023069747
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Weight Loss Surgery, PLLC
- Organization subpart
- No
- Enumeration date
- May 15, 2006
- Last updated
- Mar 21, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 602225209 | WA | Yes |
Practice location
125 130th St SeFirst Floor
Everett, WA 98208-6400
Phone 425-385-2263 · Fax 425-385-8476
Mailing address
125 130th St SeEverett, WA 98208-6400
Phone 425-341-4800 · Fax 425-385-8476
Authorized official
Gaia E Lukevich
Administrator
4253852263
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