# PATRICIA A CHAROCHAK, D.O. P.S

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174895486
- **Authorized official:** DR. PATRICIA A CHAROCHAK DO (DOCTOR)
- **Authorized official phone:** (253) 848-5555

## Contact information

- **Practice address:** 8112 112TH STREET CT E, PUYALLUP, WA 98373-7815
- **Practice address phone:** (253) 848-5555
- **Practice address fax:** (253) 848-5922
- **Mailing address:** 8112 112TH STREET CT E, PUYALLUP, WA 98373-7815
- **Mailing address phone:** (253) 848-5555
- **Mailing address fax:** (253) 848-5922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OP00000826 | WA | Yes |

## Other

- **Enumeration date:** 02/01/2012
- **Last updated:** 02/01/2012