Healthcare Provider Details

I. General information

NPI: 1992292122
Provider Name (Legal Business Name): JOSEPH CHIARO III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-4234
US

IV. Provider business mailing address

1112 6TH AVE STE 100
TACOMA WA
98405-4048
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberOP61433471
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: