Organization
JOY P. RUIZ-MOLLESTON, M.D., PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA J ELDER (BILLING MANGER)
(360) 895-1521
Entity
Organization
Contact information
Practice address
7424 BRIDGEPORT WAY W STE 301, LAKEWOOD, WA 98499-8135
(253) 474-5141
(253) 474-5507
Mailing address
5422 80TH AVENUE CT W, TACOMA, WA 98467-3974
(253) 565-6576
(253) 474-5507
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD00024942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039287
L&I
WA
05
—
1084425
—
WA
01
—
RU5122
REGENCE
WA
Enumeration date
03/14/2007
Last updated
07/20/2010
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