Individual
KIM E UNBEDACHT ORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3912 N 28TH ST, TACOMA, WA 98407-5325
(253) 752-7075
Mailing address
4319 N HIGHLAND AVENUE, TACOMA, WA 98407
(253) 752-2318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024825
WA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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