institution
Tenino Family Practice Pllc
Adolescent Medicine (Family Medicine) Physician in Tenino, Washington
NPI 1487056511

Tenino Family Practice Pllc is an Adolescent Medicine (Family Medicine) Physician based in Tenino, WA and is specialized in Adolescent Medicine. Tenino Family Practice Pllc practices in Tenino, WA. The NPI Number for Tenino Family Practice Pllc is 1487056511 and holds a License No. MD00022762 (Washington).

The current practice location address for Tenino Family Practice Pllc is 273 Sussex Ave E, Tenino, WA and can be reached out via phone at 360-264-5665 and via fax at 360-264-5666.

Location: 273 Sussex Ave E, Tenino, WA, 98589-4020
institution
Provider Profile Details
NPI Number
1487056511
Provider Name
Tenino Family Practice Pllc
Credential
Provider Entity Type
Organization
Address
273 Sussex Ave E, Tenino, WA, 98589-4020
Phone Number
360-264-5665
Fax Number
360-264-5666
Provider Enumeration Date
09/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
273 Sussex Ave E
City
State
Zip
98589-9359
Phone Number
360-264-5665
Fax Number
360-264-5666
person
Provider Business Mailing Address Details
Address
273 Sussex Ave E
City
State
Zip
98589-9359
Phone Number
360-264-5665
Fax Number
360-264-5666
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
License No.
MD00022762 (Washington)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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