Organization · Type 2 NPI
Pierce County Jail Clinic
Medical Physician Assistant · Tacoma, WA
NPI number
1013231695
Active
Practice location
910 Tacoma Ave S
Tacoma, WA 98402-2104
Fax (253) 798-4043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA10001047 (WA) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- P.c. Jail ClinicCustodial Care Facility Tacoma, WA NPI 1699828103
- Azusa Matsubayashi, ARNPPsychiatric/Mental Health Nurse Practitioner Tacoma, WA NPI 1205471067
- David Nicholas Deaconson, RNPsychiatric/Mental Health Nurse Practitioner Tacoma, WA NPI 1598554982
- Kenneth Leo Fleck, PA-CMedical Physician Assistant Tacoma, WA NPI 1417045857
About NPI 1013231695
Pierce County Jail Clinic's National Provider Identifier is 1013231695, issued on Mar 25, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tacoma, WA. The record was last updated on Mar 25, 2010.