Individual
MAX PONO CASTANERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 593-0110
Mailing address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 593-0110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61557418
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/24/2021
Last updated
05/20/2026
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