Individual provider · Type 1 NPI
Charles Coleman, PA-C
Medical Physician Assistant · Tacoma, WA
NPI number
1902909450
Active
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Mailing address
Vapshcs 9600 Veterans Drive SW, American Lake Division
Lakewood, WA 98498-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA10004781 (WA) |
Medical Physician Assistant: Definition to come...
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About NPI 1902909450
Charles Coleman, PA-C's National Provider Identifier is 1902909450, issued on Sep 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tacoma, WA. The record was last updated on Dec 12, 2019.