Organization
MULTICARE HEALTH SYSTEM
Active
Other names
Mary Bridge Neurodevelopmental Program
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE H SCHMITZ (CFO)
(253) 459-8000
Entity
Organization
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-3707
Mailing address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-3707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7134133
—
WA
Enumeration date
04/13/2007
Last updated
05/14/2010
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