NPI 1649415720

Pacific Lutheran Univeristy Student Health Center

Organisation Health Maintenance Organization Tacoma, WA

Practice location

Address: Pacific Lutheran University Student Health Ctr 12012 Park Ave South, Tacoma, WA 98447-0001
Phone: (253) 535-7337
Mailing address: 4018 Caldwell Rd E, Edgewood, WA 98372-9234

Authorised official

Name: Ann Winnifred Miller
Title: Arnp
Phone: (253) 862-7050

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 910565571 (WA)

Other Health Maintenance Organization providers in Washington →

Registry record

NPI: 1649415720
Entity type: Organization
NPI issued: 3 Dec 2008
Record last updated: 3 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.