Healthcare Provider Details

I. General information

NPI: 1467776401
Provider Name (Legal Business Name): MEGAN MICHELE CECCHINI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2010
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 YAKIMA AVE STE 104
TACOMA WA
98405-5303
US

IV. Provider business mailing address

1802 YAKIMA AVE STE 104
TACOMA WA
98405-5303
US

V. Phone/Fax

Practice location:
  • Phone: 253-426-6272
  • Fax: 253-426-4060
Mailing address:
  • Phone: 253-426-6272
  • Fax: 253-426-4060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD60551208
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberMD60551208
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: