Individual
TAMMY DOANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19027 77TH AVE E, PUYALLUP, WA 98375-6915
(253) 507-2728
Mailing address
18216 92ND AVE E, PUYALLUP, WA 98375-6272
(253) 507-2728
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
605-233-660
WA
Other
Enumeration date
12/12/2024
Last updated
10/17/2025
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