ATHENIX BODY SCULPTING
NPI 1023530094
Surgery - Plastic and Reconstructive Surgery in Beaverton, OR

Q: What is Northwest Surgical Development's NPI number?

The NPI number for Northwest Surgical Development is 1023530094. It was assigned to this organization in the NPPES registry on July 12, 2017. The provider is doing business as Athenix Body Sculpting.

Q: What is Northwest Surgical Development's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since July 12, 2017

17885 NW EVERGREEN PKWY, BEAVERTON, OR 97006(971) 246-5291 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Athenix Body Sculpting NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHENIX BODY SCULPTING (NPI 1023530094) is a healthcare organization registered as a plastic and reconstructive surgery in Beaverton, Oregon and active in the NPI registry since July 2017. The organization lists Christina Gillett, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1023530094

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameNORTHWEST SURGICAL DEVELOPMENT

Location Address17885 NW EVERGREEN PKWYBeaverton, OR 97006-7494

Mailing Address65 Enterprise Ste 125Aliso Viejo, CA 92656-2706 · (949) 600-9941 · Fax (949) 600-8029

Phone(971) 246-5291

Organization SubpartNo

Authorized OfficialChristina GillettInsurance Specialist · (949) 600-9941

Enumeration DateJuly 12, 2017

✔ NPI 1023530094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in OR · 16741689

Definition

A surgeon who specializes in plastic and reconstructive surgery.

17885 NW EVERGREEN PKWY, Beaverton, OR 97006

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Other Names 1

Doing Business AsAthenix Body Sculpting

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANA CLARK KURIAKOSE MD

Physical Medicine & Rehabilitation

17885 NW EVERGREEN PKWY
BEAVERTON, OR 97006

Washington County (888) 414-3531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Surgical Development's NPI number?

The NPI number for Northwest Surgical Development is 1023530094. It was assigned to this organization in the NPPES registry on July 12, 2017. The provider is doing business as Athenix Body Sculpting.

Where is Northwest Surgical Development located?

Northwest Surgical Development is located at 17885 NW Evergreen Pkwy, Beaverton, OR 97006. The listed phone number is (971) 246-5291.

What is Northwest Surgical Development's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Northwest Surgical Development was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.