Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Northwest Surgical Associates PC

Organization Surgery Physician · NPI 1205931615

Pacific Northwest Surgical Associates PC provides Surgery Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 N Curtis Rd Ste 403
Boise, ID 83706-1342 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 367-7160
Fax: (208) 367-7164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M7088 (ID)
Surgery Physician Taxonomy 208600000X · Licence M7089 (ID)

Record details

NPI number1205931615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Livingston — Administrator · (208) 367-7160
NPI enumeratedSeptember 13, 2006
Last updated in NPPESFebruary 21, 2008
Mailing address901 N Curtis Rd, Suite 403, Boise, ID 83706-1342

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