# LIFESTYLE COMMUNITY CLINIC A NONPROFIT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PNW Wellness Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831951979
- **Authorized official:** ESTHER M PARK HWANG MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (253) 732-3573

## Contact information

- **Practice address:** 4545 S UNION AVE, TACOMA, WA 98409-4532
- **Practice address phone:** (253) 732-3573
- **Mailing address:** 4545 S UNION AVE, TACOMA, WA 98409-4532
- **Mailing address phone:** (253) 732-3573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 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