Organization
PACMED CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
220 15TH AVE SE, PUYALLUP, WA 98372-3797
(253) 435-3400
Mailing address
220 15TH AVE SE, PUYALLUP, WA 98372-3797
(253) 435-3400
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/09/2025
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