Lifestyle Community Clinic A Nonprofit Corporation
Obstetrics & Gynecology in Tacoma, WA. Organization (NPI-2).
NPI number1831951979
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1831951979
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifestyle Community Clinic A Nonprofit Corporation
- Organization subpart
- No
- Enumeration date
- Jan 24, 2024
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 251V00000X | Voluntary or Charitable | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 261QB0400X | Clinic/Center, Birthing | – | – | |
| 261QD0000X | Clinic/Center, Dental | – | – | |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Pnw Wellness Partners (Former Legal Business Name)
Practice location
4545 S Union AveTacoma, WA 98409-4532
Phone 253-732-3573
Mailing address
4545 S Union AveTacoma, WA 98409-4532
Phone 253-732-3573
Authorized official
Esther M Park Hwang
Medical Director
2537323573
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