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.
Organization
TUMWATER FAMILY PRACTICE CLINIC
Active
Organization
TUMWATER FAMILY PRACTICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L TYLER (CLINC ADMINISTRATOR)
(360) 754-6367
Entity
Organization
Contact information
Practice address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-3637
(360) 754-6429
Mailing address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-3637
(360) 754-6429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7022346
—
WA
01
—
77100
LABOR & INDUSTRIES
WA
Enumeration date
06/15/2006
Last updated
12/18/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up