Pacific Lutheran University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

60128007 Issued in WA

Legal business name

PACIFIC LUTHERAN UNIVERSITY

Practice address

12108 S Park Ave
Tacoma, WA 98447-0001

Phone

(253) 535-7337

Fax

(253) 536-5042

NPI assigned

Mar 16, 2010

Last updated

Mar 16, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Audry Jean Kahlstrom, MN

Title

Arnp

Phone

(253) 389-6998

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1114241478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 S PARK AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984470001",
            "telephone_number": "253-535-7337",
            "fax_number": "253-536-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12108 S PARK AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984470001",
            "telephone_number": "253-535-7337",
            "fax_number": "253-536-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC LUTHERAN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "KAHLSTROM",
        "authorized_official_first_name": "AUDRY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "253-389-6998",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "WA",
            "license": "60128007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Cataract and Laser Institute, Inc., P.C.
• Pacific Coast Eyecare P.S. (Tacoma Eye)
• Pacific General Medical & Emergecy Clinic Inc
• Pacific Hands LLC
• Pacific Lutheran Univeristy Student Health Center
• Pacific Lutheran University
• Pacific Medical Dialysis Services
• Pacific Medical Laboratory Services
• Pacific Medical Specialty on Call Group
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)

• Student Health Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Student Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.