Healthcare Provider Details

I. General information

NPI: 1780976282
Provider Name (Legal Business Name): JOSEPH H PARKER IV DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOEY H PARKER

II. Dates (important events)

Enumeration Date: 05/03/2011
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 S J ST
TACOMA WA
98405-4933
US

IV. Provider business mailing address

1717 S J ST
TACOMA WA
98405-4933
US

V. Phone/Fax

Practice location:
  • Phone: 253-426-6341
  • Fax: 253-426-6344
Mailing address:
  • Phone: 253-426-6341
  • Fax: 253-426-6344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDO.OP.60480128
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO.OP.60480128
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: