| Physican Care Nw | |
|
708 Broadway Suite 400 Tacoma WA 98402-3778 | |
| (253) 627-4638 | |
| (253) 573-9511 |
| Full Name | Physican Care Nw |
|---|---|
| Speciality | Family Medicine |
| Location | 708 Broadway, Tacoma, Washington |
| Authorized Official Name and Position | Matthew White (PRESIDENT) |
| Authorized Official Contact | 2536274638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physican Care Nw 708 Broadway Suite 400 Tacoma WA 98402-3778 Ph: (253) 627-4638 | Physican Care Nw 708 Broadway Suite 400 Tacoma WA 98402-3778 Ph: (253) 627-4638 |
| NPI Number | 1043513435 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 3173796703 |
|---|---|
| Medicare Enrollment ID | O20111027000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043513435 | NPI | - | NPPES |
| Provider Name | David R Kennel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952345563 PECOS PAC ID: 1254380777 Enrollment ID: I20050125000619 |
| Provider Name | Ulrich Birlenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922031475 PECOS PAC ID: 1456488808 Enrollment ID: I20100416000457 |
| Provider Name | Claudia C Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225224470 PECOS PAC ID: 2860524394 Enrollment ID: I20100720000401 |
| Provider Name | Courtney Kennel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912261447 PECOS PAC ID: 9739329483 Enrollment ID: I20150807014419 |
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