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DEDICATED WOMENS HEALTH SPECIALISTS INC P.S. NPI 1750597480


NPI Information

NPI: 1750597480
Provider Name: DEDICATED WOMENS HEALTH SPECIALISTS INC P.S.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 50D0868831

Address:
1701 3RD ST SE
SUITE 200
PUYALLUP, WA
ZIP 98372
Phone: (253) 840-4444
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DEDICATED WOMENS HEALTH SPECIALISTS 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. DEDICATED WOMENS HEALTH SPECIALISTS INC P.S. NPI is 1750597480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1701 3RD ST SE
SUITE 200
PUYALLUP, WA
ZIP 98372-511
Phone: (253) 840-4444
Fax: (253) 840-5239

The provider's authorized official is Paul H Eun .
The authorized official title is Owner and has the following contact phone number (253) 840-4444.

The CLIA number assigned to this NPI record is 50D0868831 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/16/2007 and was last updated on 6/15/2012.


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 & GynecologyMD00031953WASHINGTONNo
2207V00000XObstetrics & GynecologyMD00045275WASHINGTONNo
3207V00000XObstetrics & GynecologyMD00026074WASHINGTONYes

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
1GAB25749MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
2C92565MEDICARE UPIN
3I44317MEDICARE UPINWASHINGTON
4C74735MEDICARE UPIN
57085020MEDICAIDWASHINGTON

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.