Organization
MULTICARE HEALTH SYSTEM
Active
Other names
Olympic Sports & Spine, MultiCare Olympic Sports and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA J TUILEFANO (PROVIDER ENROLLMENT SPECIALIST)
(253) 459-8231
Entity
Organization
Contact information
Practice address
7727 40TH ST W STE A, UNIVERSITY PLACE, WA 98466-3146
(253) 460-1362
(253) 460-6628
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/19/2018
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