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

Pacific Surgical Weight Loss Center, PLLC

Organization Specialist · NPI 1730456971

Pacific Surgical Weight Loss Center, PLLC provides Specialist services in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Lilly Rd NE Ste C-2
Olympia, WA 98506 Not confirmed with CMS for 14 years — call before visiting
Phone: (360) 412-3120
Fax: (360) 412-1046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD00036124 (WA)

Record details

NPI number1730456971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Henderson — Insurance Staff · (360) 412-3120
Other names Pacific Surgical Weight Loss Center, Pllc
NPI enumeratedNovember 16, 2011
Last updated in NPPESNovember 16, 2011
Mailing address200 Lilly Rd Ne, Suite C-2, Olympia, WA 98506-5427

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