MR. GERALD W. UPSHAW NPI 1568640639

NPI Information

NPI: 1568640639
Provider Name: MR. GERALD W. UPSHAW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3580 PACIFIC AVE
TACOMA, WA
ZIP 98418
Phone: (253) 798-4500
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MR. Gerald W. Upshaw is a mental health counselor in Tacoma, WA. MR. Gerald W. Upshaw NPI is 1568640639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3580 PACIFIC AVE
TACOMA, WA
ZIP 98418-915
Phone: (253) 798-4500
Fax: (253) 798-4493

The enumeration date for this NPI number is 1/31/2008 and was last updated on 1/31/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376K00000X	Nurse's Aide		NA00094615	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	RC00014788	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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