Individual
DR. JULIE A MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2209 E. 32ND ST., TACOMA, WA 98404
(253) 593-0232
(253) 593-3311
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO27966
OR
207Q00000X
Family Medicine Physician
Primary
OP60126252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004382
—
WA
Enumeration date
10/06/2005
Last updated
08/28/2017
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