Organization
MULTICARE HEALTH SYSTEM
Active
Other names
Woodcreek Pediatrics by Mary Bridge Children's
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LOOMIS (SR VP-CHIEF FINANCIAL OFFICE)
(253) 403-8020
Entity
Organization
Contact information
Practice address
1706 S MERIDIAN STE 120, PUYALLUP, WA 98371-7516
(253) 848-8797
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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