Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES M. LLEWELLYN, MD
ActiveCHARLES M. LLEWELLYN, MD is a Facial Plastic Surgery healthcare provider located in TACOMA, Washington. NPI 1790288280 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · TACOMA, WA
Registration Details
- NPI Number
- 1790288280
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2018 (8.4349478906742 yrs)
- Last Updated
- Feb 20, 2025
- Licenses
-
A186385 (CA)A186385 (CA)32149 (NE)MD61640327 (WA)
Practice Information
- Address
-
9040 JACKSON AVETACOMA, WA, 984310001Browse WA providers · Browse ZIP 98431
- Phone
- 2539681420
- Fax
- 2539683140
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Plastic Surgery within the Head & Neck
- Additional Specialty
- General Practice
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.