Healthcare Provider Details

I. General information

NPI: 1427378082
Provider Name (Legal Business Name): JENNIFER TOME HIGA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 S CEDAR ST STE 330
TACOMA WA
98405-2318
US

IV. Provider business mailing address

3209 S 23RD ST STE 203
TACOMA WA
98405-1602
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-5127
  • Fax:
Mailing address:
  • Phone: 253-272-5127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number244076
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD464587
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD60358503
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: