Individual
POYA POURGHADERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 S UNION AVE SUITE 6001, BUILDING B, TACOMA, WA 98405-2485
(253) 301-5077
(253) 864-3923
Mailing address
1901 S UNION AVE STE 6001, TACOMA, WA 98405-1702
(253) 301-5077
(253) 864-3923
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
OP61508886
WA
Other
Enumeration date
03/27/2018
Last updated
04/01/2026
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