Individual
ALLEGRA BLOMENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6002 WESTGATE BLVD STE 150, TACOMA, WA 98406-2571
(253) 752-8882
(253) 752-8907
Mailing address
6002 WESTGATE BLVD STE 150, TACOMA, WA 98406-2571
(253) 752-8882
(253) 752-8907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61657251
WA
363AM0700X
Medical Physician Assistant
Primary
PA61657251
WA
363AS0400X
Surgical Physician Assistant
PA61657251
WA
Other
Enumeration date
01/16/2025
Last updated
05/30/2025
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