Healthcare Provider Details

I. General information

NPI: 1033974530
Provider Name (Legal Business Name): NARROWS SURGERY CENTER PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4707 S 19TH ST LOWR LEVEL
TACOMA WA
98405-1157
US

IV. Provider business mailing address

4707 S 19TH ST STE 210
TACOMA WA
98405-1151
US

V. Phone/Fax

Practice location:
  • Phone: 253-442-2234
  • Fax:
Mailing address:
  • Phone: 253-442-2234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MELINDA BLACKWELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 253-442-2234