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Organization

MULTICARE HEALTH SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY E WILLIAMS (MANAGER, PROVIDER DATA & ENROLLMENT)
(253) 459-8009
Entity
Organization

Contact information

Practice address
316 MARTIN L KING JR WAY STE 212, TACOMA, WA 98405-4254
(253) 383-5777
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080P0201X
Pediatric Allergy/Immunology Physician
2080P0207X
Pediatric Hematology & Oncology Physician
2080P0214X
Pediatric Pulmonology Physician
2080S0012X
Pediatric Sleep Medicine Physician
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
07/18/2019
Last updated
10/22/2019
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