# OCCUPATIONAL MEDICAL CLINIC OF TACOMA, INC.,PS

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

## Provider details

- **NPI number:** 1194982629
- **Authorized official:** DR. NICK W. URAGA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (253) 922-9570

## Contact information

- **Practice address:** 4703 PACIFIC HWY E, FIFE, WA 98424-2620
- **Practice address phone:** (253) 922-9570
- **Practice address fax:** (253) 922-9587
- **Mailing address:** 4703 PACIFIC HWY E, FIFE, WA 98424-2620
- **Mailing address phone:** (253) 922-9570
- **Mailing address fax:** (253) 922-9587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 602192265 | WA | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/21/2008
