TANYA WILKE FAMILY MEDICINE NPI 1598155129

NPI Information

NPI: 1598155129
Provider Name: TANYA WILKE FAMILY MEDICINE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1427 JEFFERSON AVE
SUITE 202
ENUMCLAW, WA
ZIP 98022
Phone: (360) 825-2849
Get Directions

TANYA WILKE FAMILY MEDICINE is a primary care clinic center in Enumclaw, WA. TANYA WILKE FAMILY MEDICINE NPI is 1598155129. The provider is registered as an organization entity type.

The provider's business location address is:

1427 JEFFERSON AVE
SUITE 202
ENUMCLAW, WA
ZIP 98022-649
Phone: (360) 825-2849
Fax: (360) 825-5381

The provider's authorized official is Tanya Wilke .
The authorized official title is Physician and has the following contact phone number (360) 825-2849.

The enumeration date for this NPI number is 2/4/2015 and was last updated on 4/30/2015.

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	261QP2300X	Clinic/Center	Primary Care	MD60090609	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	G8883295	MEDICARE PIN	WASHINGTON
2	0274400	OTHER	WASHINGTON	STATE L&I
3	G8897835	MEDICARE PIN	WASHINGTON
4	0251251	OTHER	WASHINGTON	STATE L&I

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »