Individual provider · NPI-1
Charlee Rhea Abboud, DO
Family Medicine · Tacoma, WA
NPI number1174152169
StatusActive
Last updated in NPPESJul 24, 2023
Details
- NPI
- 1174152169
- Entity type
- Individual (NPI-1)
- Name
- Charlee Rhea Abboud
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2020
- Certification date
- Jul 24, 2023
- Last updated
- Jul 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OP61413490 | WA | Yes |
Practice location
1202 Martin Luther King Jr WayTacoma, WA 98405-3926
Phone 253-441-4742
Mailing address
1202 Martin Luther King Jr WayTacoma, WA 98405-3926
Phone 253-441-4742
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