Healthcare Provider Details

I. General information

NPI: 1447570593
Provider Name (Legal Business Name): KATHRYN JULIA BALINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 PACIFIC AVE STE 500
TACOMA WA
98402-4210
US

IV. Provider business mailing address

1498 PACIFIC AVE STE 500
TACOMA WA
98402-4210
US

V. Phone/Fax

Practice location:
  • Phone: 855-768-6363
  • Fax:
Mailing address:
  • Phone: 855-768-6363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberR2527
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD490237C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: