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Organization
LIFESTYLE COMMUNITY CLINIC A NONPROFIT CORPORATION
Active
Organization
LIFESTYLE COMMUNITY CLINIC A NONPROFIT CORPORATION
Active
Other names
PNW Wellness Partners
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER M PARK HWANG MD (MEDICAL DIRECTOR)
(253) 732-3573
Entity
Organization
Contact information
Practice address
4545 S UNION AVE, TACOMA, WA 98409-4532
(253) 732-3573
Mailing address
4545 S UNION AVE, TACOMA, WA 98409-4532
(253) 732-3573
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QB0400X
Birthing Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
333600000X
Pharmacy
—
NULL
Other
Enumeration date
01/24/2024
Last updated
08/02/2024
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