Dr. Marissa Noella Robinson, MD
Family Medicine in Puyallup, WA. Individual provider (NPI-1).
NPI number1407359201
StatusActive
Last updated in NPPESJan 13, 2022
Details
- NPI
- 1407359201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marissa Noella Robinson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2018
- Certification date
- Jan 13, 2022
- Last updated
- Jan 13, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD61106362 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1322 3rd St Se Ste 240Puyallup, WA 98372-3771
Phone 253-697-1420
Mailing address
1322 3rd St Se Ste 240Puyallup, WA 98372-3771
Phone 253-697-1420
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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