Individual
MICHAEL JON FLAMOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4267
(253) 596-3300
(253) 596-3301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255843
STATE L&I
WA
01
—
0260392
STATE L&I
WA
01
—
0289885
LABOR AND INDUSTRIES-TRA
WA
Enumeration date
02/28/2006
Last updated
02/15/2022
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