# UNITED WOUND HEALING PS

> 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:** 1669845327
- **Authorized official:** RYAN P DIRKS PA (CEO)
- **Authorized official phone:** (855) 255-1750

## Contact information

- **Practice address:** 413 29TH ST NE STE I, PUYALLUP, WA 98372-7154
- **Practice address phone:** (855) 255-1750
- **Practice address fax:** (855) 255-0905
- **Mailing address:** 413 29TH ST NE STE I, PUYALLUP, WA 98372-7154
- **Mailing address phone:** (855) 255-1750
- **Mailing address fax:** (855) 255-0905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | — | — |
| 213E00000X | Podiatrist | — | — | — |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/03/2015
- **Last updated:** 05/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1669845327 | — | ID |
| 05 | — | 2054899 | — | WA |
| 05 | — | 3005543 | — | UT |
| 05 | — | 4326555 | — | TX |
| 05 | — | 500738702 | — | OR |