Healthcare Provider Details

I. General information

NPI: 1518017136
Provider Name (Legal Business Name): COUNTY OF PIERCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3580 PACIFIC AVE
TACOMA WA
98418-7915
US

IV. Provider business mailing address

3580 PACIFIC AVE
TACOMA WA
98418-7915
US

V. Phone/Fax

Practice location:
  • Phone: 253-798-4500
  • Fax: 253-798-4255
Mailing address:
  • Phone: 253-798-4500
  • Fax: 253-798-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberRTF1077
License Number StateWA

VIII. Authorized Official

Name: MR. DAVE E. STEWART
Title or Position: DIRECTOR
Credential:
Phone: 253-798-6100