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General NPI Number Information
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NPI Number | 1679585541
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Entity Type | Individual
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Provider Name | PAUL J FERREIRA MD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-8180
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Country | US
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Telephone | 831-884-1090
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Fax | 630-570-6073
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Provider Business Mailing Address
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Address Line | 75-5751 KUAKINI HWY STE 203
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City | KAILUA KONA
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State | HI
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Zip | 96740-1753
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Country | US
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Telephone | 808-326-5629
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 942768921205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 19452
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License Number State | HI
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