Organization
PIONEER FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M TAYLOR (BUSINESS MANAGER)
(360) 413-8617
Entity
Organization
Contact information
Practice address
5130 CORPORATE CENTER CT SE, LACEY, WA 98503-5957
(360) 413-8600
(360) 413-8822
Mailing address
5130 CORPORATE CENTER CT SE, LACEY, WA 98503-5957
(360) 413-8600
(360) 413-8822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02
CORPORATE
WA
01
—
1205965365
NPI
WA
01
—
147741
LABOR AND INUDUSTRY
WA
05
—
7105869
—
WA
Enumeration date
03/05/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us