Organization Active NPI

Northwest Beauty Concepts

  • Orthotic Fitter
  • Camas, WA
National Provider Identifier
1306714902
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
Legal business name
NORTHWEST BEAUTY CONCEPTS
Practice address
1905 SE 192ND Ave Ste 105
Camas, WA 98607-7415
Phone
(360) 256-7654
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer MillerNPI 1053281683
Title
Cranial Prosthesis Specialist
Phone
(360) 904-9681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 225000000X Primary

Addresses

Primary practice location

1905 SE 192ND Ave Ste 105
Camas, WA 98607-7415

Mailing address

1905 SE 192ND Ave Ste 105
Camas, WA 98607-7415

National Provider Directory

National Provider Directory

Locations

1905 SE 192nd Ave
Ste 105
Camas, WA 98607
Phone (360) 256-7654

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1306714902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE STE 105",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE STE 105",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077415",
            "telephone_number": "360-256-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BEAUTY CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "360-904-9681",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.