MEDICARE: TACOMA ORTHOPAEDIC SURGEONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center		WA

General Provider Information

NPI Number	:	1053387696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TACOMA ORTHOPAEDIC SURGEONS INC

Provider Business Mailing Address
First Line	:	2420 S UNION
Second Line	:	STE 300
City	:	TACOMA
State	:	WA
Zip	:	98405-1387
Country	:	US
Telephone Number	:	253-756-0888
Fax Number	:	253-752-1704

Provider Business Practice Location Address
First Line	:	5801 SOUNDVIEW DR
Second Line	:	STE 150
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-2043
Country	:	US
Telephone Number	:	253-756-0888
Fax Number	:	253-752-1704

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	SUZANNE FOSS
Credential	:
Telephone Number	:	253-756-0888

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	08/22/2020

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