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Pacific Northwest Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery Clinic/Center in Federal Way, WA · enumerated 2014 · authorized official Carl Johnson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689080467

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Registry record

Entity type Organization (Type 2)
Legal business name Pacific Northwest Oral and Maxillofacial Surgery
Practice address 2345 Sw 320th St, Federal Way, WA, 98023
Fax (253) 874-3624
Enumeration date Jul 1, 2014
Last updated in NPPES Jul 1, 2014

Taxonomy & classification

261QS0112X Oral and Maxillofacial Surgery Clinic/Center Ambulatory Health Care Facilities · License DE00006475 (WA) Primary

Authorized official

Name Carl Johnson
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-07-01. Verify at npiregistry.cms.hhs.gov.
Where is Pacific Northwest Oral and Maxillofacial Surgery located?
The practice location on file with NPPES is in Federal Way, WA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-01.