GOOD SAMARITAN OUTREACH SERVICES NPI 1376683946

NPI Information

NPI: 1376683946
Provider Name: GOOD SAMARITAN OUTREACH SERVICES

Other Name: CHILDREN'S THERAPY UNIT

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
402 15TH AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 697-5200
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GOOD SAMARITAN OUTREACH SERVICES is a multi-specialty clinic center in Puyallup, WA. GOOD SAMARITAN OUTREACH SERVICES NPI is 1376683946. The provider is registered as an organization entity type.
The provider Other Name Is Children's Therapy Unit.

The provider's business location address is:

402 15TH AVE SE
PUYALLUP, WA
ZIP 98372-709
Phone: (253) 697-5200
Fax: (253) 697-8598

The provider's authorized official is Ronald J Lewis .
The authorized official title is Vice President and has the following contact phone number (253) 697-8500.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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