Organization
PACIFIC LUTHERAN UNIVERISTY STUDENT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN WINNIFRED MILLER ARNP (ARNP)
(253) 862-7050
Entity
Organization
Contact information
Practice address
PACIFIC LUTHERAN UNIVERSITY STUDENT HEALTH CTR, 12012 PARK AVE SOUTH, TACOMA, WA 98447-0001
(253) 535-7337
Mailing address
4018 CALDWELL RD E, EDGEWOOD, WA 98372-9234
(253) 862-1050
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
910565571
WA
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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