Puyallup Tribal Health Authority

NPI 1063455665 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1063455665
Enumeration Date 06/13/2006
Last Updated 10/14/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHRIS CHRIS
Position EXECUTIVE DIRECTOR
Phone (253) 593-0232
Fax (253) 382-2091
Practice Location
2209 E 32ND ST
TACOMA WA, 98404-4922, US
Phone (253) 593-0232
Fax (253) 382-2091
Business Location
2209 E 32ND ST
P.O. BOX 8009
TACOMA WA, 98404-4922, US
Phone (253) 593-0232
Fax (253) 382-2091
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Puyallup Tribal Health Authority NPI is 1063455665, taxonomy code is 291U00000X Puyallup Tribal Health Authority physically located at 2209 E 32nd St, Tacoma WA, 98404-4922. NPI Number 1033115704 has the healthcare provider type.

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1063455665 NPI number is provided on an as is basis without warranty of any kind. 1063455665 is maintained by the National Plan & Provider Enumeration System. The contents of Puyallup Tribal Health Authority are for informational purposes only.