SALMON CREEK PLASTIC SURGERY PC/ASC FACILITY
NPI 1588802466
Clinic/Center - Ambulatory Surgical in Vancouver, WA

Active since January 30, 2009CLIA 50D2106535 · Waiver
13712 NE 10TH AVE, VANCOUVER, WA 98685(360) 823-0860(360) 828-1407 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Jun 13, 2019, Apr 22, 2019 (3 updates tracked since 2019).

About Salmon Creek Plastic Surgery Pc/asc Facility NPPES

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

SALMON CREEK PLASTIC SURGERY PC/ASC FACILITY (NPI 1588802466) is a healthcare organization registered as an ambulatory surgical in Vancouver, Washington and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Richard K Green, Business Owner / Plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1588802466
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSALMON CREEK PLASTIC SURGERY PC
Location Address13712 NE 10TH AVEVancouver, WA 98685
Mailing Address13712 Ne 10th AveVancouver, WA 98685 · (360) 823-0860 · Fax (360) 828-1407
Fax(360) 828-1407
Organization SubpartNo
Authorized OfficialRichard K GreenBusiness Owner / Plastic Surgeon · (360) 823-0860
Enumeration DateJanuary 30, 2009
Last NPPES UpdateDecember 29, 20223 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
NPI 1588802466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in WA · 602673506
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
13712 NE 10TH AVE, Vancouver, WA 98685

Other Names 1

Other NameSalmon Creek Plastic Surgery Pc/asc Facility

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2106535

Salmon Creek Plastic Surgery · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2106535
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 21, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRichard K. Green
Laboratory Phone(360) 823-0860
Laboratory LocationSalmon Creek Plastic Surgery13712 NE 10th Ave, Vancouver, WA 98685
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Surgery (Plastic and Reconstructive Surgery)
13712 NE 10TH AVE
VANCOUVER, WA 98685
Surgery (Surgery of the Hand)
13712 NE 10TH AVE
VANCOUVER, WA 98685
Plastic Surgery
13712 NE 10TH AVE
VANCOUVER, WA 98685

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 Salmon Creek Plastic Surgery PC's NPI number?

The NPI number for Salmon Creek Plastic Surgery PC is 1588802466. It was assigned to this organization in the NPPES registry on January 30, 2009. The provider is also known as Salmon Creek Plastic Surgery Pc/Asc Facility.

Where is Salmon Creek Plastic Surgery PC located?

Salmon Creek Plastic Surgery PC is located at 13712 NE 10th Ave, Vancouver, WA 98685. The listed phone number is (360) 823-0860.

What is Salmon Creek Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Salmon Creek Plastic Surgery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2106535) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Salmon Creek Plastic Surgery PC accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Salmon Creek Plastic Surgery PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Salmon Creek Plastic Surgery PC was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.