Healthcare Provider Details

I. General information

NPI: 1497548200
Provider Name (Legal Business Name): GLOBAL HEALTH DOC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2025
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 WILLAMETTE DR NE STE F
LACEY WA
98516-1376
US

IV. Provider business mailing address

3201 WILLAMETTE DR NE STE F
LACEY WA
98516-1376
US

V. Phone/Fax

Practice location:
  • Phone: 360-515-1022
  • Fax: 949-331-1848
Mailing address:
  • Phone: 360-515-1022
  • Fax: 949-331-1848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT MASSAQUOI
Title or Position: CMO
Credential: DRHSC, MHSC, PA-C
Phone: 360-515-1022