Organization
PACIFIC LUTHERAN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDRY JEAN KAHLSTROM MN (ARNP)
(253) 389-6998
Entity
Organization
Contact information
Practice address
12108 S PARK AVE, TACOMA, WA 98447-0001
(253) 535-7337
(253) 536-5042
Mailing address
12108 S PARK AVE, TACOMA, WA 98447-0001
(253) 535-7337
(253) 536-5042
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
60128007
WA
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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