Pearl Plastic Surgery, PLLC
Clinic/Center, Ambulatory Surgical in Olympia, WA. Organization (NPI-2).
Details
- NPI
- 1508573221
- Entity type
- Organization (NPI-2)
- Legal business name
- Pearl Plastic Surgery, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2022
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
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 |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
145 Lilly RoadSuite 102
Olympia, WA 98506
Phone 360-878-9300 · Fax 360-878-9666
Mailing address
145 Lilly RoadSuite 102
Olympia, WA 98506
Phone 360-878-9300 · Fax 360-878-9666
Authorized official
Daniel Albershardt
Manager
3608789300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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