# MOUNTAINS MEET MEDICAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205652732
- **Authorized official:** DR. LAURA MARSHALL DO (MANAGING MEMBER)
- **Authorized official phone:** (253) 237-2169

## Contact information

- **Practice address:** 4401 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4201
- **Practice address phone:** (253) 237-2169
- **Mailing address:** 4401 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/30/2024
- **Last updated:** 01/27/2025