OrganizationActive
Pacific Surgical Weight Loss Center, PLLC
NPI 1730456971 · Specialist · Olympia, WA
Pacific Surgical Weight Loss Center, PLLC is a Specialist organization in Olympia, WA (NPI 1730456971).
Provider details
- NPI number
- 1730456971
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jackie Henderson, Insurance Staff(360) 412-3120
- License
- MD00036124 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Lilly Rd Ne
Ste. C-2
Olympia, WA 98506
Phone: (360) 412-3120
Fax: (360) 412-1046
Street-level locationGet directions
Mailing address
200 Lilly Rd Ne
Olympia, WA 98506-5427
Other names (DBA / former)
- Doing business as
- Pacific Surgical Weight Loss Center, PLLC
Registry dates
- Enumerated
- 2011-11-16
- Last updated
- 2011-11-16
Frequently asked questions
- What is Pacific Surgical Weight Loss Center, PLLC's NPI number?
- Pacific Surgical Weight Loss Center, PLLC's National Provider Identifier (NPI) is 1730456971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Surgical Weight Loss Center, PLLC?
- Pacific Surgical Weight Loss Center, PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Pacific Surgical Weight Loss Center, PLLC located?
- Pacific Surgical Weight Loss Center, PLLC's practice location on file with NPPES is 200 Lilly Rd Ne, Olympia, WA 98506.
- What is Pacific Surgical Weight Loss Center, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pacific Surgical Weight Loss Center, PLLC is (360) 412-3120.
- Who is the authorized official for Pacific Surgical Weight Loss Center, PLLC?
- The authorized official listed on Pacific Surgical Weight Loss Center, PLLC's NPPES record is Jackie Henderson, Insurance Staff. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Surgical Weight Loss Center, PLLC's NPI active?
- Yes — Pacific Surgical Weight Loss Center, PLLC's NPI (1730456971) is active in the NPPES registry as of the last update on 2011-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.