# HARBOR PLASTIC SURGERY CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134354533
- **Authorized official:** DR. JUSTIN HOWARD PIASECKI M.D. (MEMBER)
- **Authorized official phone:** (253) 509-4438

## Contact information

- **Practice address:** 11511 CANTERWOOD BLVD NW, SUITE 310, GIG HARBOR, WA 98332-5813
- **Practice address phone:** (253) 858-5040
- **Practice address fax:** (888) 843-2412
- **Mailing address:** 11511 CANTERWOOD BLVD NW, SUITE 310, GIG HARBOR, WA 98332-5813
- **Mailing address phone:** (253) 858-5040
- **Mailing address fax:** (888) 843-2412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | MD00049097 | WA | Yes |

## Other

- **Enumeration date:** 05/28/2009
- **Last updated:** 12/17/2025