1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Nurse Practitioner
  6. NPI Profile

PACIFIC LUTHERAN UNIVERSITY
NPI 1306915053
Nurse Practitioner - Family in Tacoma, WA

Active since November 07, 2006
12108 PACIFIC AVENUE PACIFIC LUTHERAN UNIVERSITY, EAST CAMPUS, SUITE G-10, TACOMA, WA 98447(253) 535-7354(253) 535-7071 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pacific Lutheran University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC LUTHERAN UNIVERSITY (NPI 1306915053) is a healthcare organization registered as a family in Tacoma, Washington and active in the NPI registry since November 2006. The organization lists Ruth M Kohler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306915053
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePACIFIC LUTHERAN UNIVERSITY
Location Address12108 PACIFIC AVENUE PACIFIC LUTHERAN UNIVERSITY, EAST CAMPUS, SUITE G-10Tacoma, WA 98447-0003
Mailing Address12108 Pacific Avenue Pacific Lutheran University, East Campus, Suite G-10Tacoma, WA 98447-0003 · (253) 535-7354 · Fax (253) 535-7071
Phone(253) 535-7354
Fax(253) 535-7071
Organization SubpartNo
Authorized OfficialRuth M KohlerOffice Manager · (253) 535-8753
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306915053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
12108 PACIFIC AVENUE PACIFIC LUTHERAN UNIVERSITY, Tacoma, WA 98447
Open in Google Maps ↗

Other Identifiers 3

Medicaid7043656WA
Other0115931WA · Labor And Industries
OtherAL1346WA · Regence Group #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Lutheran University's NPI number?

The NPI number for Pacific Lutheran University is 1306915053. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Pacific Lutheran University located?

Pacific Lutheran University is located at 12108 Pacific Avenue Pacific Lutheran University East Campus, Suite G-10, Tacoma, WA 98447. The listed phone number is (253) 535-7354.

What is Pacific Lutheran University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pacific Lutheran University was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.