Clr Clinic | |
737 Fawcett Ave Tacoma WA 98402-5503 | |
(253) 830-5969 | |
Not Available |
Full Name | Clr Clinic |
---|---|
Speciality | Clinic/Center |
Location | 737 Fawcett Ave, Tacoma, Washington |
Authorized Official Name and Position | David Flentge (PRESIDENT/CEO) |
Authorized Official Contact | 2535974450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clr Clinic 1148 Broadway Ste 100 Tacoma WA 98402-3518 Ph: (253) 722-2161 | Clr Clinic 737 Fawcett Ave Tacoma WA 98402-5503 Ph: (253) 830-5969 |
NPI Number | 1043970908 |
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Provider Enumeration Date | 12/20/2021 |
Last Update Date | 04/29/2024 |
Medicare PECOS PAC ID | 1850201559 |
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Medicare Enrollment ID | O20221101001530 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043970908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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