Organization
EVERSIDE HEALTH, LLC
Active
Other names
Paladina Health Puyallup
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
615 E PIONEER, SUITE 103, PUYALLUP, WA 98372-3317
(727) 457-8286
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
07/28/2022
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