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WOODCREEK PEDIATRICS PLLC NPI 1699802728


NPI Information

NPI: 1699802728
Provider Name: WOODCREEK PEDIATRICS, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 50D0635427

Address:
1706 S MERIDIAN
SUITE 120
PUYALLUP, WA
ZIP 98371
Phone: (253) 848-8797
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WOODCREEK PEDIATRICS, PLLC is a pediatrics in Puyallup, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WOODCREEK PEDIATRICS, PLLC NPI is 1699802728. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1706 S MERIDIAN
SUITE 120
PUYALLUP, WA
ZIP 98371-516
Phone: (253) 848-8797
Fax: (253) 845-0100

The provider's authorized official is Pam Mathison .
The authorized official title is Finance Manager and has the following contact phone number (253) 446-3226.

The CLIA number assigned to this NPI record is 50D0635427 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 3/18/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4207Q00000XFamily MedicineNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
6363AM0700XPhysician AssistantMedicalNo
7363LP0200XNurse PractitionerPediatricsNo
8208000000XPediatricsYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.