Individual provider · Type 1 NPI

Tate Wallar

Student in an Organized Health Care Education/Training Program · Tacoma, WA

NPI number 1356017925 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-1886

Call (253) 968-2462 Map

Other practice locations

  • 1111 W 17th St, Tulsa, OK 74107-1886 · (918) 599-1000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356017925

Tate Wallar's National Provider Identifier is 1356017925, issued on Aug 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tacoma, WA. The record was last updated on Mar 28, 2022.