Organization
NORTHWEST MEDICAL SPECIALTIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK NELSON (COO)
(253) 428-8756
Entity
Organization
Contact information
Practice address
1624 S I ST, SUITE #305, TACOMA, WA 98405-5016
(253) 428-8700
(253) 627-4285
Mailing address
1624 S I ST, SUITE #305, TACOMA, WA 98405-5016
(253) 428-8700
(253) 627-4285
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2005
Last updated
09/15/2021
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