Individual
CHARLES M. LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1420
(253) 968-3140
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1420
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
A186385
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A186385
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD61640327
WA
208D00000X
General Practice Physician
32149
NE
Other
Enumeration date
03/12/2018
Last updated
02/20/2025
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