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UP FAMILY MEDICINE PLLC
NPI 1417577909
Clinic/Center - Health Service in University Place, WA

Active since April 24, 2020
4114 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466(253) 564-8100(253) 564-8387 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Up Family Medicine Pllc NPPES

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

UP FAMILY MEDICINE PLLC (NPI 1417577909) is a healthcare organization registered as a health service in University Place, Washington and active in the NPI registry since April 2020. The organization lists Tai Davalos, Manager, as its authorized official.

NPPES Registry Identity

NPI1417577909
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameUP FAMILY MEDICINE PLLC
Location Address4114 BRIDGEPORT WAY WUniversity Place, WA 98466-4315
Mailing Address4114 Bridgeport Way WUniversity Place, WA 98466-4315 · (253) 564-8100 · Fax (253) 564-8387
Phone(253) 564-8100
Fax(253) 564-8387
Organization SubpartNo
Authorized OfficialTai DavalosManager · (253) 564-8100
Enumeration DateApril 24, 2020
NPPES CertifiedApril 24, 2020
✔ NPI 1417577909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4114 BRIDGEPORT WAY W, University Place, WA 98466
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Other Providers at the Same Location NPPES 11

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

MS. KAREN KAY GARCIA CNM WHNP
Advanced Practice Midwife
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 564-4157
DR. ANDREA TIFFANY FRIESEN M.D.
Family Medicine
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 564-8100
MS. ELIZABETH MICHELLE BARICHIO LMP
Massage Therapist
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 564-4508
LORI ELIZABETH KREMER LMT
Massage Therapist
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (317) 496-5754
PACIFIC WELLNESS AND SPA INC
Chiropractor (Rehabilitation)
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 564-8100
NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES LLC
Clinic/Center (Primary Care)
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 564-4157
MS. PEGGY ANN SMITH ARNP
Nurse Practitioner (Family)
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 564-4157
MARISA CANNE LMT
Massage Therapist
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 564-8100

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 Up Family Medicine PLLC's NPI number?

The NPI number for Up Family Medicine PLLC is 1417577909. It was assigned to this organization in the NPPES registry on April 24, 2020.

Where is Up Family Medicine PLLC located?

Up Family Medicine PLLC is located at 4114 Bridgeport Way W, University Place, WA 98466. The listed phone number is (253) 564-8100.

What is Up Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Up Family Medicine PLLC was last updated on April 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.