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Active NPI 1649368341 Organization (Entity Type 2) Subpart Facility

Surgery Center Enumclaw

Clinic/Center - Ambulatory Surgical • Enumclaw, WA

Parent Organization: Puget Sound Specialty Physicians, Pllc

About Surgery Center Enumclaw NPI 1649368341 Summary

Surgery Center Enumclaw is a verified healthcare organization specializing in Clinic/Center - Ambulatory Surgical operating in Enumclaw, WA. Located at 2820 GRIFFIN AVE, SUITE 100, this facility provides patient care and medical services under National Provider Identifier (NPI) 1649368341.

Surgery Center Enumclaw operates as a subpart facility of Puget Sound Specialty Physicians, Pllc. Administrative operations and authorized compliance are overseen by David Bishop (Board Chairman).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2820 Griffin Ave
Suite 100

Enumclaw, WA 980222373

Telephone 3608025231
Fax 3608025236

Authorized Official Information

Authorized Contact Name

David Bishop , M.D.

Title / Role

Board Chairman

Official Telephone

3608257500

Facility Classifications & Specialties

Clinic/Center - Ambulatory Surgical Primary Taxonomy

NUCC Taxonomy Code: 261QA1903X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked
Dr. Jane Houtz , MD NPI 1649285198

Internal Medicine

Enumclaw, WA

View Practitioner Profile →

Massage Therapist

Enumclaw, WA

View Practitioner Profile →
Susan Louie , OTR L NPI 1932156015

Occupational Therapist - Hand

Enumclaw, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active November 29, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 29, 2007

Registered at 2820 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 980222373 (Tel: 3608025231)

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Updated Business Mailing Address November 29, 2007

Registered at 2820 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 980222373 (Tel: 3608025231)

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Organization / Clinic Name Updated November 29, 2007

Operating as SURGERY CENTER ENUMCLAW

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2007

Clinic/Center (License #FX00057007 in WA)

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Initial NPI Registration & Enumeration October 10, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1649368341
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 10, 2006
Last Update: November 29, 2007

Mailing Address

2820 Griffin Ave, Suite 100

Enumclaw, WA 980222373

Phone: 3608025231

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.