Organization
MT RAINIER SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA M TEREM M.D. (MEDICAL DIRECTOR)
(253) 383-5949
Entity
Organization
Contact information
Practice address
419 S L ST STE 101, TACOMA, WA 98405-3799
(253) 383-5949
(253) 383-5953
Mailing address
419 S L ST STE 101, TACOMA, WA 98405-3799
(253) 383-5949
(253) 383-5953
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42060
LABOR & INDUSTRY
WA
05
—
7004633
—
WA
01
—
C03182
RAIL ROAD MEDICARE
—
Enumeration date
12/05/2006
Last updated
08/22/2020
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