PUYALLUP CLINIC INC
NPI 1497874903
Clinic/Center in Puyallup, WA

Q: What is Puyallup Clinic Inc's NPI number?

The NPI number for Puyallup Clinic Inc is 1497874903. It was assigned to this organization in the NPPES registry on March 28, 2007. The provider was formerly known as Puyallup Clinic Inc., Ps.

Q: What is Puyallup Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 28, 2007

800 S MERIDIAN STE A, PUYALLUP, WA 98371(253) 845-6645(253) 770-2295 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Puyallup Clinic Inc NPPES

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

PUYALLUP CLINIC INC (NPI 1497874903), doing business as Puyallup Clinic Inc., Ps, is a healthcare organization registered as a clinic/center in Puyallup, Washington and active in the NPI registry since March 2007. The organization lists Jerry Fred Duris, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1497874903

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePUYALLUP CLINIC INC

Location Address800 S MERIDIAN STE APuyallup, WA 98371-6994

Mailing Address800 S Meridian Ste APuyallup, WA 98371-6994 · (253) 845-6645 · Fax (253) 770-2295

Phone(253) 845-6645

Fax(253) 770-2295

Organization SubpartNo

Authorized OfficialJerry Fred DurisPresident And Ceo · (253) 845-6645

Enumeration DateMarch 28, 2007

Last NPPES UpdateJuly 31, 2019

✔ NPI 1497874903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in WA · 261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

800 S MERIDIAN STE A, Puyallup, WA 98371

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Other Names 1

Former Legal Business NamePuyallup Clinic Inc., Ps

Other Identifiers 1

Medicaid7120363WA

Other Providers at the Same Location NPPES

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

CONSUELO EPISTOLA PA

Physician Assistant

800 S MERIDIAN STE A
PUYALLUP, WA 98371

Pierce County (253) 845-6645

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 Puyallup Clinic Inc's NPI number?

The NPI number for Puyallup Clinic Inc is 1497874903. It was assigned to this organization in the NPPES registry on March 28, 2007. The provider was formerly known as Puyallup Clinic Inc., Ps.

Where is Puyallup Clinic Inc located?

Puyallup Clinic Inc is located at 800 S Meridian Ste A, Puyallup, WA 98371. The listed phone number is (253) 845-6645.

What is Puyallup Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Puyallup Clinic Inc was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.