# CAPITAL MEDICAL CENTER PHYSICIANS LLC

> 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
- **Other names:** Tumwater Family Practice Clinic by MultiCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568229540
- **Authorized official:** WILLIAM GLENN ROBERTSON (CEO)
- **Authorized official phone:** (253) 403-1272

## Contact information

- **Practice address:** 150 DENNIS ST SW \# A, TUMWATER, WA 98501-5459
- **Practice address phone:** (360) 754-6367
- **Practice address fax:** (360) 754-6429
- **Mailing address:** P.O. BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 08/04/2025