Healthcare Provider Details

I. General information

NPI: 1790606614
Provider Name (Legal Business Name): AMARA MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1628 S MILDRED ST STE 105
TACOMA WA
98465-1628
US

IV. Provider business mailing address

1628 S MILDRED ST STE 105
TACOMA WA
98465-1628
US

V. Phone/Fax

Practice location:
  • Phone: 253-600-4844
  • Fax: 253-600-4844
Mailing address:
  • Phone: 253-600-4844
  • Fax: 253-600-4844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HAZEL ROSE KING
Title or Position: PRACTICE MANAGER
Credential: ARNP
Phone: 253-600-4844