# WESTERN WASHINGTON ENDOSCOPY CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Puyallup Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790744175
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 1703 S MERIDIAN, SUITE 203, PUYALLUP, WA 98371-7590
- **Practice address phone:** (253) 841-3933
- **Practice address fax:** (253) 864-8412
- **Mailing address:** PO BOX 2157, TACOMA, WA 98401-2157
- **Mailing address phone:** (253) 841-3933
- **Mailing address fax:** (253) 864-8412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | CON 1301 REQUIRED | WA | Yes |

## Other

- **Enumeration date:** 03/22/2006
- **Last updated:** 06/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7137326 | — | WA |