Organization
PACIFIC MEDICAL DIALYSIS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MINN MD (MD)
(855) 621-8250
Entity
Organization
Contact information
Practice address
917 PACIFIC AVE STE 600, TACOMA, WA 98402-4437
(253) 310-2236
Mailing address
917 PACIFIC AVE STE 600, TACOMA, WA 98402-4437
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
—
—
163WH0500X
Hemodialysis Registered Nurse
—
—
207RN0300X
Nephrology Physician
Primary
—
—
2472R0900X
Renal Dialysis Technician
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
10/24/2023
Last updated
07/07/2026
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