# NORTHWEST MEDICAL SPECIALTIES, PLLC

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

## Provider details

- **NPI number:** 1588052245
- **Authorized official:** MARK V NELSON (CEO)
- **Authorized official phone:** (253) 428-8700

## Contact information

- **Practice address:** 2920 S MERIDIAN, SUITE 100, PUYALLUP, WA 98373-1428
- **Practice address phone:** (253) 841-4296
- **Practice address fax:** (253) 841-2435
- **Mailing address:** 1624 S I ST, SUITE 305, TACOMA, WA 98405-5016
- **Mailing address phone:** (253) 428-8700
- **Mailing address fax:** (253) 383-3376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | MD60274322 | WA | Yes |

## Other

- **Enumeration date:** 01/05/2015
- **Last updated:** 01/05/2015