Organization
NORTHSTAR SURGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHASHAYAR DEHGHAN M.D. (MEMBER/OWNER)
(618) 531-9518
Entity
Organization
Contact information
Practice address
2150 N 107TH ST, SUITE 520, SEATTLE, WA 98133-1305
(425) 836-3900
(425) 836-3907
Mailing address
2150 N 107TH ST, SUITE 520, SEATTLE, WA 98133-1305
(425) 836-3900
(425) 836-3907
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00047758
WA
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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