Scott Anderson
General Practice in Tacoma, WA. Individual provider (NPI-1).
NPI number1609680305
StatusActive
Last updated in NPPESAug 8, 2026
Details
- NPI
- 1609680305
- Entity type
- Individual (NPI-1)
- Name
- Scott Anderson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2025
- Certification date
- Aug 8, 2026
- Last updated
- Aug 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 0101290532 | VA | Yes |
Practice location
9040 Jackson AveTacoma, WA 98431-0001
Phone 253-968-3105
Mailing address
9040 Jackson AveTacoma, WA 98431-0001
Phone 253-968-3105
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