Individual provider · Type 1 NPI

Chunliu Gong

Pediatric Nurse Practitioner · Tacoma, WA

NPI number 1609500792 Active

Practice location

317 Martin Luther King Jr Way
Tacoma, WA 98405-4234

Mailing address

2257 22nd Pl SE
Albany, OR 97322-5470

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP61327907 (WA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1609500792

Chunliu Gong's National Provider Identifier is 1609500792, issued on Jul 13, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tacoma, WA. The record was last updated on Jul 13, 2022.