Individual
MICAH ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5700 100TH ST SW STE 510, LAKEWOOD, WA 98499-2767
(253) 792-6526
(253) 459-6065
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61673608
WA
Other
Enumeration date
03/15/2019
Last updated
08/14/2025
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