# PUGET SOUND PLASTIC SURGERY

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

## Provider details

- **NPI number:** 1225305477
- **Authorized official:** DR. BRADEN C STRIDDE MD (PHYSICIAN OWNER)
- **Authorized official phone:** (425) 202-4709

## Contact information

- **Practice address:** 16 CENTRAL WAY, SUITE A, KIRKLAND, WA 98033-6115
- **Practice address phone:** (425) 202-4709
- **Practice address fax:** (425) 284-1609
- **Mailing address:** 16 CENTRAL WAY, SUITE A, KIRKLAND, WA 98033-6115
- **Mailing address phone:** (425) 202-4709
- **Mailing address fax:** (425) 284-1609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | MD00027531 | WA | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 02/24/2015
