Healthcare Provider Details

I. General information

NPI: 1881785400
Provider Name (Legal Business Name): ROBERT M CALL L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10612 CANYON RD E
PUYALLUP WA
98373-4257
US

IV. Provider business mailing address

13121 68TH AVENUE CT E
PUYALLUP WA
98373-6318
US

V. Phone/Fax

Practice location:
  • Phone: 253-592-3389
  • Fax: 253-538-1616
Mailing address:
  • Phone: 253-592-3389
  • Fax: 253-538-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC408
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: