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Bridgeport Medical Clinic Pllc
Clinic/Center in Puyallup, Washington
NPI 1982855995

Bridgeport Medical Clinic Pllc is a Clinic/Center based in Federal Way, WA. Bridgeport Medical Clinic Pllc practices in Puyallup, WA. The NPI Number for Bridgeport Medical Clinic Pllc is 1982855995 and holds a License No. MD00041157 (Washington).

The current practice location address for Bridgeport Medical Clinic Pllc is 511 10Th Ave Se, Puyallup, WA and can be reached out via phone at 253-845-7566.

Location: 511 10Th Ave Se, Puyallup, WA, 98003-3659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982855995
Provider Name
Bridgeport Medical Clinic Pllc
Credential
Provider Entity Type
Organization
Address
511 10Th Ave Se, Puyallup, WA, 98003-3659
Phone Number
253-845-7566
Fax Number
Provider Enumeration Date
10/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
511 10Th Ave Se
City
Puyallup
State
Washington
Zip
98372-3875
Phone Number
253-845-7566
Fax Number
person
Provider Business Mailing Address Details
Address
511 10Th Ave Se
City
Puyallup
State
Washington
Zip
98372-3875
Phone Number
253-845-7566
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MD00041157 (Washington)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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