PUYALLUP CHILDREN'S CLINIC, PLLC
NPI 1841407285
Pediatrics - Adolescent Medicine in Puyallup, WA

Active since May 16, 2007
1322 3RD ST SE, STE #240, PUYALLUP, WA 98372(253) 848-1572(253) 841-3719 Get Directions Write a Review

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

About Puyallup Children's Clinic, Pllc NPPES

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

PUYALLUP CHILDREN'S CLINIC, PLLC (NPI 1841407285) is a healthcare organization registered as an adolescent medicine in Puyallup, Washington and active in the NPI registry since May 2007. The organization lists Timothy B Jolley, Owner, as its authorized official.

NPPES Registry Identity

NPI1841407285
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePUYALLUP CHILDREN'S CLINIC, PLLC
Location Address1322 3RD ST SE, STE #240Puyallup, WA 98372-3771
Mailing Address1322 3rd St Se, Ste #240Puyallup, WA 98372-3771 · (253) 848-1572 · Fax (253) 841-3719
Fax(253) 841-3719
Organization SubpartNo
Authorized OfficialTimothy B JolleyOwner · (253) 848-1572
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1841407285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1322 3RD ST SE, Puyallup, WA 98372

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

Other Providers at the Same Location NPPES 13

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

Anesthesiology (Pain Medicine)
1322 3RD ST SE, SUITE 100
PUYALLUP, WA 98372
Family Medicine
1322 3RD ST SE, SUITE 240
PUYALLUP, WA 98372
Nurse Practitioner (Family)
1322 3RD ST SE
PUYALLUP, WA 98372
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE, #300
PUYALLUP, WA 98372
Pharmacist
1322 3RD ST SE
PUYALLUP, WA 98372
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE, SUITE 240
PUYALLUP, WA 98372
Pediatrics (Adolescent Medicine)
1322 3RD ST SE, SUITE #240
PUYALLUP, WA 98372
Surgery
1322 3RD ST SE, SUITE 220
PUYALLUP, WA 98372

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 Children's Clinic, PLLC's NPI number?

The NPI number for Puyallup Children's Clinic, PLLC is 1841407285. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Puyallup Children's Clinic, PLLC located?

Puyallup Children's Clinic, PLLC is located at 1322 3rd St SE Ste #240, Puyallup, WA 98372. The listed phone number is (253) 848-1572.

What is Puyallup Children's Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Puyallup Children's Clinic, PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.