Organization
TAHOMA PRIMARY CARE PRACTITIONERS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE D GILL (PRACTICE MANAGER)
(907) 301-4994
Entity
Organization
Contact information
Practice address
615 N PROCTOR ST, TACOMA, WA 98406-4931
(253) 292-5812
(253) 617-7768
Mailing address
615 N PROCTOR ST, TACOMA, WA 98406-4931
(253) 292-5812
(253) 617-7768
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
02/02/2023
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