OrganizationActive
Pacific Northwest Oral and Maxillofacial Surgery
NPI 1689080467 · Oral and Maxillofacial Surgery Clinic/Center · Federal Way, WA
Provider details
- NPI number
- 1689080467
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carl Johnson, Owner(425) 277-1844
- License
- DE00006475 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2345 Sw 320th St
Federal Way, WA 98023-2568
Phone: (253) 838-2123
Fax: (253) 874-3624
Approximate (ZIP-level) locationGet directions
Mailing address
2345 Sw 320th St
Federal Way, WA 98023-2568
Registry dates
- Enumerated
- 2014-07-01
- Last updated
- 2014-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.