Healthcare Provider Details

I. General information

NPI: 1295700086
Provider Name (Legal Business Name): WESTERN WASHINGTON ENDOSCOPY CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 S. 23RD STREET STE 200
TACOMA WA
98405
US

IV. Provider business mailing address

2202 S CEDAR ST STE. 310
TACOMA WA
98405-2318
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-5127
  • Fax: 253-272-0857
Mailing address:
  • Phone: 253-272-8148
  • Fax: 253-404-0506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LORI HESS
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 253-272-8148