Active NPI
Northwest Beauty Concepts
- Orthotic Fitter
- Camas, WA
National Provider Identifier
1306714902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Miller
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 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 DirectoryLocations
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.
-
- Orthotic Fitter
- Camas, WA
- NPI 1053281683
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.