- Practice location
- 12325 SW Horizon Blvd Ste 35, Beaverton, OR 97007-9474
- Phone
- 503-430-0944
- Fax
- —
- Last updated
- December 2, 2022
Celebrity Medical Spa is a healthcare organization based in Beaverton, OR. Celebrity Medical Spa practices in Beaverton, OR. The NPI Number for Celebrity Medical Spa is 1568172252. The current practice location address for Celebrity Medical Spa is 12325 SW Horizon Blvd Ste 35, Beaverton, OR 97007-9474 and can be reached out via phone at 503-430-0944.
Provider Profile Details
- NPI Number
- 1568172252
- Provider Name
- Celebrity Medical Spa
- Provider Entity Type
- Organization
- Address
- 12325 SW Horizon Blvd Ste 35, Beaverton, OR 97007-9474
- Phone Number
- 503-430-0944
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Crystal Luna, FNP-BC · Nurse Practitioner · 503-430-0944
- Provider Enumeration Date
- December 2, 2022
- Last Update Date
- December 2, 2022
- Certification Date
- December 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12325 SW Horizon Blvd Ste 35
Beaverton, OR 97007-9474 - City
- Beaverton
- State
- Oregon
- Zip
- 97007-9474
- Phone Number
- 503-430-0944
Provider Business Mailing Address Details
- Address
- 12325 SW Horizon Blvd Ste 35
Beaverton, OR 97007-9474 - City
- Beaverton
- State
- OR
- Zip
- 97007-9474
- Phone Number
- 503-430-0944
License Information
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Celebrity Medical Spa?
The NPI number of Celebrity Medical Spa is 1568172252. It was assigned on December 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Celebrity Medical Spa?
Celebrity Medical Spa is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Celebrity Medical Spa practice?
The practice location is 12325 SW Horizon Blvd Ste 35, Beaverton, OR 97007-9474. The office can be reached at 503-430-0944 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568172252 directly on the NPPES registry website.