Organization · Type 2 NPI

Kaiser Foundation Health Plan of Washington

Multi-Specialty Clinic/Center · Puyallup, WA

NPI number 1477844454 Active

Practice location

1007 39th Ave SE
Puyallup, WA 98374-2192

Call (253) 435-3100 Map

Fax (253) 435-3138

Mailing address

PO Box 34584
Seattle, WA 98124-1584

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

26 other providers at this address

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NPI record

NPI: 1477844454
Entity type: Organization (Type 2)
Issued: Apr 26, 2011
Last updated: Jun 22, 2021
Status: Active
Subpart: Yes of Group Health Cooperative

Other names

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Puyallup Medical Center · doing business as
Puyallup Medical Center · doing business as

Authorized official

Kathy Beery
Director
(206) 630-1818

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477844454

Kaiser Foundation Health Plan of Washington's National Provider Identifier is 1477844454, issued on Apr 26, 2011. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Puyallup, WA. The record was last updated on Jun 22, 2021.