Individual
VINCENT PETER OTUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60443108
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61018852
WA
Other
Enumeration date
10/13/2018
Last updated
07/15/2025
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