Organization
PURE INFUSION OF WASHINGTON LLC
Active
Organization
PURE INFUSION OF WASHINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ANN FRAGA (DIRECTOR OF PAYER DEVELOPMENT)
(801) 590-9267
Entity
Organization
Contact information
Practice address
1818 S UNION AVE STE 2B, TACOMA, WA 98405-1953
(253) 393-2700
Mailing address
4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
(801) 590-9267
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/24/2025
Last updated
10/09/2025
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