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General NPI Number Information
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NPI Number | 1881086379
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Entity Type | Individual
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Provider Name | TORY JAMES FOSS PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 1901 S UNION AVE STE B3003
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City | TACOMA
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State | WA
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Zip | 98405-1803
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Country | US
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Telephone | 253-572-2842
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 SHADELANDS DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2444
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Country | US
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Telephone | 925-939-8585
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60605232
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License Number State | WA
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