PACIFIC LUTHERAN UNIVERSITY NPI 1306915053

NPI Information

PACIFIC LUTHERAN UNIVERSITY is a family nurse practitioner in Tacoma, WA. PACIFIC LUTHERAN UNIVERSITY NPI is 1306915053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12108 PACIFIC AVENUE PACIFIC LUTHERAN UNIVERSITY
EAST CAMPUS, SUITE G-10
TACOMA, WA
ZIP 98447-003
Phone: (253) 535-7354
Fax: (253) 535-7071

The provider's authorized official is Ruth M Kohler .
The authorized official title is Office Manager and has the following contact phone number (253) 535-8753.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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