PMG NW WA Reconstructive & Plastic Surgery – Plastic Surgery Physician, NPI 1912158023

PMG NW WA Reconstructive & Plastic Surgery is a healthcare provider. based in Portland, Oregon. specializing in Plastic Surgery Physician. The NPI Number for PMG NW WA Reconstructive & Plastic Surgery is 1912158023

Main info

Organization
Name
PMG NW WA Reconstructive & Plastic Surgery
NPI
1912158023
Phone
(866) 399-2983
Address
PO BOX 3360
Authorized Official
DONALD WAYNE ANDERSON JR. ASSISTANT SECRETARY OF ENROLLMENTS
Enumeration Date
7 October 2008
Last Update Date
9 May 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for PMG NW WA Reconstructive & Plastic Surgery

  • 3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083360

    Phone: (866) 399-2983

    Type: Mailing

  • PO BOX 31001-4114

    PASADENA, CA 911104114

    Phone: (425) 358-9786

    Type: Mailing

  • 12800, Bothell-Everett Highway, Everett, Snohomish County, Washington, 98208, United States

    SUITE 260

    EVERETT, WA 982086642

    Phone: (425) 316-5080

    Fax: (425) 316-5025

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Reviews

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Frequently asked questions

What NPI should I save for PMG NW WA Reconstructive & Plastic Surgery?
Save NPI 1912158023 if you need a stable reference for PMG NW WA Reconstructive & Plastic Surgery.
Is PMG NW WA Reconstructive & Plastic Surgery currently active in the NPI registry?
CMS-published data lists PMG NW WA Reconstructive & Plastic Surgery as an active registrant.
Does PMG NW WA Reconstructive & Plastic Surgery list a primary specialty?
If you are matching referrals, note Plastic Surgery Physician for PMG NW WA Reconstructive & Plastic Surgery. Clinical services aligned with this taxonomy classification.
What location metadata exists for PMG NW WA Reconstructive & Plastic Surgery?
The page summarizes Portland, Oregon for PMG NW WA Reconstructive & Plastic Surgery; expand the address list for detail.
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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