CEDAR MEDICAL SPECIALTIES NPI 1376549618

NPI Information

NPI: 1376549618
Provider Name: CEDAR MEDICAL SPECIALTIES
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Address: 2202 S CEDAR ST
STE 100
TACOMA, WA
ZIP 98405
Phone: (253) 759-5555

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NPI Details

CEDAR MEDICAL SPECIALTIES is an ambulatory surgical clinic center in Tacoma, WA. CEDAR MEDICAL SPECIALTIES NPI is 1376549618. The provider is registered as an organization entity type.

The provider's business location address is:

2202 S CEDAR ST
STE 100
TACOMA, WA
ZIP 98405-318
Phone: (253) 759-5555
Fax: (253) 830-5420

The provider's authorized official is Robyn Wallace .
The authorized official title is Practice Manager and has the following contact phone number (253) 759-5555.

The enumeration date for this NPI number is 6/22/2005 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	FX00057086	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7110224	MEDICAID	WASHINGTON

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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