PACIFIC LUTHERAN UNIVERSITY NPI 1114241478

NPI Information

  • NPI: 1114241478
  • Provider Name: PACIFIC LUTHERAN UNIVERSITY
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Address: 12108 S PARK AVE
    TACOMA, WA
    ZIP 98447
  • Phone: (253) 535-7337

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NPI Details

PACIFIC LUTHERAN UNIVERSITY is a student health clinic center in Tacoma, WA. PACIFIC LUTHERAN UNIVERSITY NPI is 1114241478. The provider is registered as an organization entity type.

The provider's business location address is:

12108 S PARK AVE
TACOMA, WA
ZIP 98447-001
Phone: (253) 535-7337
Fax: (253) 536-5042

The provider's authorized official is Audry Jean Kahlstrom .
The authorized official title is Arnp and has the following contact phone number (253) 389-6998.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/16/2010.

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
1261QS1000XClinic/CenterStudent Health60128007WASHINGTONYes

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: 11/21/2025

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