Western Washington Endoscopy Centers LLC
Clinic/Center, Ambulatory Surgical in Puyallup, WA. Organization (NPI-2).
NPI number1790744175
StatusActive
Last updated in NPPESJun 28, 2022
Details
- NPI
- 1790744175
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Washington Endoscopy Centers LLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2006
- Certification date
- Jun 28, 2022
- Last updated
- Jun 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | CON 1301 required | WA | Yes |
Other names
- Puyallup Endoscopy Center (Former Legal Business Name)
Practice location
1703 S MeridianSuite 203
Puyallup, WA 98371-7590
Phone 253-841-3933 · Fax 253-864-8412
Mailing address
Po Box 2157Tacoma, WA 98401-2157
Phone 253-841-3933 · Fax 253-864-8412
Authorized official
Jeffrey Snodgrass
President
6156651283
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