Organization · Type 2 NPI

Tenino Family Practice PLLC

Adolescent Medicine (Family Medicine) Physician · Tenino, WA

NPI number 1487056511 Active

Practice location

273 Sussex Ave E
Tenino, WA 98589-9359

Call (360) 264-5665 Map

Fax (360) 264-5666

Mailing address

PO Box 4020
Tenino, WA 98589-4020

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000XMD00022762 (WA)

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

9 other providers at this address

About NPI 1487056511

Tenino Family Practice PLLC's National Provider Identifier is 1487056511, issued on Sep 19, 2014. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Tenino, WA. The record was last updated on Sep 19, 2014.