NPI 1477883387

Starr Marie Tacey, LMP

Practitioner Contractor Port Orchard, WA

Practice location

Address: 3100 SE Mile Hill Dr STE a, Port Orchard, WA 98366-2962
Phone: (360) 895-4844
Mailing address: PO Box 1628, Port Orchard, WA 98366

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA60055117 (WA)

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Registry record

NPI: 1477883387
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2009
Record last updated: 29 Dec 2009

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.