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PACIFIC SURGICAL SPECIALISTS, PLLC
NPI 1710093422
Surgery in Vancouver, WA

Active since August 23, 2006
505 NE 87TH AVE, #301, VANCOUVER, WA 98664(360) 213-9955 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Surgical Specialists, Pllc NPPES

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

PACIFIC SURGICAL SPECIALISTS, PLLC (NPI 1710093422) is a healthcare organization registered as a surgery in Vancouver, Washington and active in the NPI registry since August 2006. The organization lists Paul Dally, Owner, as its authorized official.

NPPES Registry Identity

NPI1710093422
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePACIFIC SURGICAL SPECIALISTS, PLLC
Location Address505 NE 87TH AVE, #301Vancouver, WA 98664-1989
Mailing AddressPo Box 23200Portland, OR 97281-3200 · (360) 213-9955
Phone(360) 213-9955
Organization SubpartNo
Authorized OfficialPaul DallyOwner · (360) 213-9955
Enumeration DateAugust 23, 2006
Last NPPES UpdateDecember 5, 2007
✔ NPI 1710093422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
505 NE 87TH AVE, Vancouver, WA 98664
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Other Identifiers 4

Medicare PING8862683WA
Medicare PINR137311OR
Medicaid212982OR
Medicaid7128093WA

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

Other Providers at the Same Location NPPES 20

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

ADAM LOUIS RASKY MD
Ophthalmology
505 NE 87TH AVE, SUITE 100
VANCOUVER, WA 98664
Clark County (360) 904-6781
AIDAN H DERENNE MD
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Clark County (360) 892-1635
CHARLES E FUCHS MD
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Clark County (360) 892-1635
MR. ALAMANDER HICKS PHD
Audiologist
505 NE 87TH AVE, SUITE 150
VANCOUVER, WA 98664
Clark County (360) 892-9367
ERIN P GIBBONS M.D.
Urology
505 NE 87TH AVE, SUITE 200
VANCOUVER, WA 98664
Clark County (360) 256-8836
KATHERINE ELIZABETH HOLLAND M.D.
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, SUITE 120
VANCOUVER, WA 98664
Clark County (360) 892-1635
JENNIFER L SODEN MD
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Clark County (360) 892-1635
RICHARD A BERNHEIMER JR. MD
Ophthalmology
505 NE 87TH AVE, SUITE 100
VANCOUVER, WA 98664
Clark County (360) 904-6781

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 Pacific Surgical Specialists, PLLC's NPI number?

The NPI number for Pacific Surgical Specialists, PLLC is 1710093422. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Pacific Surgical Specialists, PLLC located?

Pacific Surgical Specialists, PLLC is located at 505 NE 87th Ave #301, Vancouver, WA 98664. The listed phone number is (360) 213-9955.

What is Pacific Surgical Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Pacific Surgical Specialists, PLLC was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.