MEDICARE: PACIFIC NORTHWEST ELECTROLOGY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1013644657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACIFIC NORTHWEST ELECTROLOGY LLC

Provider Business Mailing Address
First Line	:	7405 SW TECH CENTER DR STE 100
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-8056
Country	:	US
Telephone Number	:	503-734-7764
Fax Number	:	503-296-2657

Provider Business Practice Location Address
First Line	:	7405 SW TECH CENTER DR STE A100
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-8056
Country	:	US
Telephone Number	:	503-734-7764
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ELECTROLOGIST
Name	:	AUDREY JONES
Credential	:
Telephone Number	:	503-734-7764

Provider Enumeration Date	:	08/03/2022
Last Update Date	:	01/27/2026

Similar Medicare Providers

1437008893 — TERRA TAYLOR
Practice Location Address:

7405 SW TECH CENTER DR STE 100
TIGARD, OR
97223-8056

Practice Phone: 503-734-7764
Practice Fax: 503-296-2657

1952250326 — SHAUNA RIGSBY
Practice Location Address:

7405 SW TECH CENTER DR STE 100
TIGARD, OR
97223-8056

Practice Phone: 503-734-7764
Practice Fax: 503-296-2657

1790782969 — JEAN CLAUDE CHARLES MD
Practice Location Address:

68 BELMONT AVE
BROOKLYN, NY
11212-6705

Practice Phone: 718-484-8056
Practice Fax: 718-484-8325

1093786923 — WILLIAM BARRETT HAYNOS MD
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-4409

Practice Phone: 570-271-6523
Practice Fax: 570-271-8056

1811953870 — RACHEL R MARCUS M.D.
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-9800

Practice Phone: 570-271-6523
Practice Fax: 570-271-8056

1073552345 — DR. ROBERT A VALOSIK M.D.
Practice Location Address:

664 SKYLINE DR
GATLINBURG, TN
37738-5435

Practice Phone: 615-330-5468
Practice Fax: 615-382-8056

Directions to “PACIFIC NORTHWEST ELECTROLOGY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.