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TATE WALLAR
NPI 1356017925
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Active since August 23, 2021
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2462 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tate Wallar NPPES

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

TATE WALLAR (NPI 1356017925) is an individual student in an organized health care education/training program in Tacoma, Washington and active in the NPI registry since August 2021. He maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1356017925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTATE WALLAR
Location Address9040 JACKSON AVETacoma, WA 98431-1886
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-2462
Phone(253) 968-2462
Sole ProprietorNo
Enumeration DateAugust 23, 2021
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1356017925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9040 JACKSON AVE, Tacoma, WA 98431
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Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (918) 599-1000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Tate Wallar's NPI number?

The NPI number for Tate Wallar is 1356017925. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Tate Wallar located?

Tate Wallar practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2462.

What is Tate Wallar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tate Wallar was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.