1. Home
  2. Directory
  3. Washington
  4. Olympia
  5. Specialist
  6. NPI Profile

PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC
NPI 1730456971
Specialist in Olympia, WA

Active since November 16, 2011
200 LILLY RD NE, STE. C-2, OLYMPIA, WA 98506(360) 412-3120(360) 412-1046 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Surgical Weight Loss Center, Pllc NPPES

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

PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC (NPI 1730456971) is a healthcare organization registered as a specialist in Olympia, Washington and active in the NPI registry since November 2011. The organization lists Jackie Henderson, Insurance Staff, as its authorized official.

NPPES Registry Identity

NPI1730456971
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC
Location Address200 LILLY RD NE, STE. C-2Olympia, WA 98506
Mailing Address200 Lilly Rd Ne, Suite C-2Olympia, WA 98506-5427 · (360) 412-3120 · Fax (360) 412-1046
Phone(360) 412-3120
Fax(360) 412-1046
Organization SubpartNo
Authorized OfficialJackie HendersonInsurance Staff · (360) 412-3120
Enumeration DateNovember 16, 2011
✔ NPI 1730456971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00036124
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
200 LILLY RD NE, Olympia, WA 98506
Open in Google Maps ↗

Other Names 1

Doing Business AsPacific Surgical Weight Loss Center, Pllc

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 11

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

MRS. TRACEY LOUISE CHIRGWIN LMP
Massage Therapist
200 LILLY RD NE, B3
OLYMPIA, WA 98506
Thurston County (360) 259-1344
JUDITH ANN MURRAY
Counselor (Mental Health)
200 LILLY RD NE, NORTHWEST RESOURCES BLDG C
OLYMPIA, WA 98506
Thurston County (360) 981-8336
JULIE A DYBBRO ARNP
Nurse Practitioner (Family)
200 LILLY RD NE, SUITE B2
OLYMPIA, WA 98506
Thurston County (360) 754-9409
NICOLE RENE GEORGE NCC, LMHC-A
Counselor (Mental Health)
200 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 918-8336
NICHOLE E ELIASON NUTRITIONAL THERAPY
Nutritionist
200 LILLY RD NE, BLDG B
OLYMPIA, WA 98506
Thurston County (360) 754-9409
LEIA K DAVIS
Case Manager/Care Coordinator
200 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 918-8336
MICHELE N HARRIAGE ARNP
Nurse Practitioner (Obstetrics & Gynecology)
200 LILLY RD NE, BLDG 2
OLYMPIA, WA 98506
Thurston County (360) 754-9409
JULIE A DYBBRO ARNP LLC
Nurse Practitioner (Adult Health)
200 LILLY RD NE, STE B2
OLYMPIA, WA 98506
Thurston County (360) 754-9409

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 Weight Loss Center, PLLC's NPI number?

The NPI number for Pacific Surgical Weight Loss Center, PLLC is 1730456971. It was assigned to this organization in the NPPES registry on November 16, 2011.

Where is Pacific Surgical Weight Loss Center, PLLC located?

Pacific Surgical Weight Loss Center, PLLC is located at 200 Lilly Rd NE Ste. C-2, Olympia, WA 98506. The listed phone number is (360) 412-3120.

What is Pacific Surgical Weight Loss Center, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pacific Surgical Weight Loss Center, PLLC was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.