Individual
KENNETH CJ SCHERBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1802 S UNION AVE, STE 200, TACOMA, WA 98405-1947
(253) 752-6965
(253) 759-6056
Mailing address
1802 S UNION AVE, STE 200, TACOMA, WA 98405-1947
(253) 752-6965
(253) 759-6056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000899
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1757202
—
WA
01
—
17661
LABOR & INDUSTRIES
WA
01
—
SC4440
REGENCE BCBS
WA
Enumeration date
09/30/2005
Last updated
10/17/2007
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