ETERNA VEIN & MEDICAL AESTHETICS, PLLC – NPI #1366785685
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

ETERNA VEIN & MEDICAL AESTHETICS, PLLC is a surgeon located in PUYALLUP, WA. NPPES has assigned the NPI number 1366785685 to ETERNA VEIN & MEDICAL AESTHETICS, PLLC on April 04, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 13 years ago on Jun 13, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETERNA VEIN & MEDICAL AESTHETICS, PLLC below.

NPI Profile for
ETERNA VEIN & MEDICAL AESTHETICS, PLLC

NPI Number
1366785685
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ETERNA VEIN & MEDICAL AESTHETICS, PLLC
Primary location
1803 S MERIDIAN
PUYALLUP, WA 98371-7513
Phone: (253) 268-3400 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT OSBORNE
OWNER
Phone: (253) 268-3400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 WA 603211178

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.