Organization
PNW PACE PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GLENN ROBERTSON (CEO)
(253) 403-1272
Entity
Organization
Contact information
Practice address
6442 YAKIMA AVE, TACOMA, WA 98408
(253) 459-7270
(253) 472-6833
Mailing address
P.O. BOX 5299, MS: 1313-5-PCO, TACOMA, WA 98415-0299
(253) 459-8231
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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