# DOWNEY PLASTIC SURGERY TR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Downey Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861716904
- **Authorized official:** CHARLES WILLIAM SCHNEIDER (PRES/CEO)
- **Authorized official phone:** (206) 368-1700

## Contact information

- **Practice address:** 1536 N 115TH ST, SUITE 105, SEATTLE, WA 98133-8400
- **Practice address phone:** (206) 368-1160
- **Practice address fax:** (206) 368-1159
- **Mailing address:** 1536 N 115TH ST, SUITE 105, SEATTLE, WA 98133-8400
- **Mailing address phone:** (206) 368-1160
- **Mailing address fax:** (206) 368-1159

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2010
- **Last updated:** 03/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2966 | AAAASF FACILITY ID | — |