Organization
PRIMARY CARE NORTHWEST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM NAGEL (PRACTICE MANAGER)
(253) 552-5301
Entity
Organization
Contact information
Practice address
1812 S J ST, #102, TACOMA, WA 98405-4964
(253) 552-4900
(253) 627-1886
Mailing address
1812 S J ST, #102, TACOMA, WA 98405-4964
(253) 552-4900
(253) 627-1886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7097306
—
WA
Enumeration date
02/10/2006
Last updated
06/14/2012
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