Healthcare Provider Details

I. General information

NPI: 1487919965
Provider Name (Legal Business Name): ANGELA MARIE DUNN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 FREDERICK ST
STEILACOOM WA
98388-2002
US

IV. Provider business mailing address

214 FREDERICK ST
STEILACOOM WA
98388-2002
US

V. Phone/Fax

Practice location:
  • Phone: 253-242-6044
  • Fax: 253-449-1331
Mailing address:
  • Phone: 253-242-6044
  • Fax: 253-449-1331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP60616276
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberOP60616276
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: