# EMBER MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1740988294
- **Authorized official:** ANGELINA ABRAHAMSON LAFORTEZA ARNP (ARNP/OWNER)
- **Authorized official phone:** (253) 394-6933

## Contact information

- **Practice address:** 929 E MAIN STE 230, PUYALLUP, WA 98372-3116
- **Practice address phone:** (253) 862-3026
- **Practice address fax:** (877) 474-7412
- **Mailing address:** 929 E MAIN STE 230, PUYALLUP, WA 98372-3116
- **Mailing address phone:** (253) 394-6933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2023
- **Last updated:** 02/22/2023