MEDICARE: JUSTIN H. PIASECKI, M.D., PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QX0200X	Oncology Clinic/Center	MD00049097	WA

General Provider Information

NPI Number	:	1477780922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUSTIN H. PIASECKI, M.D., PLLC

Provider Business Mailing Address
First Line	:	11511 CANTERWOOD BLVD STE 310
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-5820
Country	:	US
Telephone Number	:	253-858-5040
Fax Number	:	253-320-2133

Provider Business Practice Location Address
First Line	:	11511 CANTERWOOD BLVD NW
Second Line	:	SUITE 310
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-5813
Country	:	US
Telephone Number	:	253-509-4438
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. JUSTIN HOWARD PIASECKI
Credential	:	M.D.
Telephone Number	:	253-509-4438

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	12/17/2025

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