Organization
MULTICARE HEALTH SYSTEM
Active
Other names
Harbor Pediatrics by Mary Bridge Children's
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WILLIAMS (MANAGER, PROVIDER DATA & ENROLLMENT)
(253) 459-8009
Entity
Organization
Contact information
Practice address
4700 POINT FOSDICK DR STE 319, GIG HARBOR, WA 98335-1731
(253) 853-3888
Mailing address
P.O. BOX 5299, MS: 737-3-PCON, TACOMA, WA 98415-0299
(253) 459-8009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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