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PUYALLUP VALLEY WOMEN'S CLINIC INC.P.S. NPI 1215194576


NPI Information

NPI: 1215194576
Provider Name: PUYALLUP VALLEY WOMEN'S CLINIC, INC.,P.S.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
520 14TH AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 845-1962
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PUYALLUP VALLEY WOMEN'S CLINIC, INC.,P.S. is an obstetrics gynecology in Puyallup, WA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PUYALLUP VALLEY WOMEN'S CLINIC, INC.,P.S. NPI is 1215194576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

520 14TH AVE SE
PUYALLUP, WA
ZIP 98372-683
Phone: (253) 845-1962
Fax: (253) 770-8640

The provider's authorized official is Bruce D. Romig .
The authorized official title is Owner and has the following contact phone number (253) 845-1962.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 5/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology14802WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A08574MEDICARE UPINWASHINGTON
27113608MEDICAIDWASHINGTON

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

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