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CONCORDIA STAR MEDICAL LLC
NPI 1790163491
Clinic/Center - Primary Care in Puyallup, WA

Active since May 13, 2015
118 7TH AVE SW, SUITE A, PUYALLUP, WA 98371(253) 579-0067(253) 579-0068 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Concordia Star Medical Llc NPPES

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

CONCORDIA STAR MEDICAL LLC (NPI 1790163491) is a healthcare organization registered as a primary care in Puyallup, Washington and active in the NPI registry since May 2015. The organization lists Ladie C Arana-domondon, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1790163491
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCONCORDIA STAR MEDICAL LLC
Location Address118 7TH AVE SW, SUITE APuyallup, WA 98371-6803
Mailing Address118 7th Ave Sw, Suite APuyallup, WA 98371-6803 · (253) 579-0067 · Fax (253) 579-0068
Phone(253) 579-0067
Fax(253) 579-0068
Organization SubpartNo
Authorized OfficialLadie C Arana-domondonOwner/ceo · (253) 579-0067
Enumeration DateMay 13, 2015
✔ NPI 1790163491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
118 7TH AVE SW, Puyallup, WA 98371
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Other Providers at the Same Location NPPES 4

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

JENNIFER D ANDERSON
Nurse Practitioner (Family)
118 7TH AVE SW
PUYALLUP, WA 98371
Pierce County (253) 579-0067
DR. LADIE C ARANA-DOMONDON MD
Internal Medicine
118 7TH AVE SW, SUITE A
PUYALLUP, WA 98371
Pierce County (253) 579-0067
CONCORDIA STAR MEDICAL LLC
Clinic/Center (Primary Care)
118 7TH AVE SW, SUITE A
PUYALLUP, WA 98371
Pierce County (253) 579-0067
KAELIN VINCE CRUZ ARNP
Nurse Practitioner (Family)
118 7TH AVE SW
PUYALLUP, WA 98371
Pierce County (253) 250-3888

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 Concordia Star Medical LLC's NPI number?

The NPI number for Concordia Star Medical LLC is 1790163491. It was assigned to this organization in the NPPES registry on May 13, 2015.

Where is Concordia Star Medical LLC located?

Concordia Star Medical LLC is located at 118 7th Ave SW Suite A, Puyallup, WA 98371. The listed phone number is (253) 579-0067.

What is Concordia Star Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Concordia Star Medical LLC was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.