Healthcare Provider Details

I. General information

NPI: 1992784144
Provider Name (Legal Business Name): DEFENSE FINANCE & ACTG SERV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVE
TACOMA WA
98481-0001
US

IV. Provider business mailing address

13001 149TH ST E
PUYALLUP WA
98374-9486
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-1975
  • Fax:
Mailing address:
  • Phone: 253-841-9486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberRN32938
License Number StateNV

VIII. Authorized Official

Name: MR. DENNIS ALLISON
Title or Position: CRNA
Credential:
Phone: 253-968-1975