BRIDGING MEDICINE PLLC NPI 1912871252

NPI Information

  • NPI: 1912871252
  • Provider Name: BRIDGING MEDICINE PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1427 JEFFERSON AVE STE 102
    ENUMCLAW, WA
    ZIP 98022
  • Phone: (360) 825-2849

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NPI Details

BRIDGING MEDICINE PLLC is a family medicine in Enumclaw, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRIDGING MEDICINE PLLC NPI is 1912871252. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1427 JEFFERSON AVE STE 102
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 Ceo and has the following contact phone number (360) 825-2849.

The enumeration date for this NPI number is 9/30/2025 and was last updated on 9/30/2025.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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