# COSMETIC SURGICAL ARTS CENTER, INC.P.S.

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

## Provider details

- **NPI number:** 1851575922
- **Authorized official:** MRS. DEE E MATHERS (OFFICE MANAGER)
- **Authorized official phone:** (425) 744-7771

## Contact information

- **Practice address:** 19109 36 AVE W \#109, LYNNWOOD, WA 98036-5767
- **Practice address phone:** (425) 744-7771
- **Practice address fax:** (425) 744-7774
- **Mailing address:** 19109 36TH AVE W STE 109, LYNNWOOD, WA 98036-5767
- **Mailing address phone:** (425) 744-7771
- **Mailing address fax:** (425) 744-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | MD00020164 | WA | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 12/24/2007