S.F. Medical Center
Physician Assistant, Medical in Spanaway, WA. Organization (NPI-2).
NPI number1194735530
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1194735530
- Entity type
- Organization (NPI-2)
- Legal business name
- S.F. Medical Center
- Organization subpart
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RA0401X | Internal Medicine, Addiction Medicine | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
144 169th St S Ste ASpanaway, WA 98387-8242
Phone 253-536-2824 · Fax 253-536-3070
Mailing address
144 169th St S Ste ASpanaway, WA 98387-8242
Phone 253-536-2824 · Fax 253-536-3070
Authorized official
Wayne W Kim
Medical Director/Owner
2535362824
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