Healthcare Provider Details

I. General information

NPI: 1902986904
Provider Name (Legal Business Name): COMMONSPIRIT WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 S J ST
TACOMA WA
98405-4930
US

IV. Provider business mailing address

1608 S J ST
TACOMA WA
98405-4930
US

V. Phone/Fax

Practice location:
  • Phone: 253-426-6912
  • Fax: 253-538-4612
Mailing address:
  • Phone: 253-426-6912
  • Fax: 253-538-4612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberCF00004025
License Number StateWA

VIII. Authorized Official

Name: JULIE MANAS
Title or Position: PRESIDENT
Credential:
Phone: 253-426-6209