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Organization
MOBILEMAMMO NW
Active
Organization
MOBILEMAMMO NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER COATES (CHIEF EXECUTIVE OFFICER)
(253) 761-4200
Entity
Organization
Contact information
Practice address
1304 FAWCETT AVE, TACOMA, WA 98402-1911
(253) 761-4200
Mailing address
1304 FAWCETT AVE, TACOMA, WA 98402-1911
(253) 761-4200
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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