# CARDINAL CLINIC PS

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

## Provider details

- **NPI number:** 1326708603
- **Authorized official:** KATY PALMER NURSE PRACTITIONER (OWNER)
- **Authorized official phone:** (206) 658-3366

## Contact information

- **Practice address:** 8909 GRAVELLY LAKE DR SW STE E, LAKEWOOD, WA 98499-3101
- **Practice address phone:** (253) 625-7274
- **Mailing address:** 8909 GRAVELLY LAKE DR SW STE E, LAKEWOOD, WA 98499-3101
- **Mailing address phone:** (253) 625-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2021
- **Last updated:** 12/28/2021