Fircrest Family Medicine, PLLC
Organization Active NPI Specialist · Fircrest, WA
NPI 1891901971 · NPPES record last updated Apr 5, 2012
Key facts
- NPI
- 1891901971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 601996685 (WA)
- Legal business name
- FIRCREST FAMILY MEDICINE, PLLC
- Practice address
- 1339 Alameda Ave
Fircrest, WA 98466-6552 - Phone
- (253) 564-7701
- Fax
- (253) 565-4688
- NPI assigned
- May 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Delinda E Shawles
- Title
- Office Coordinator
- Phone
- (253) 564-7701
Practitioners 4
-
Eric Clyde Lauer, PAC
-
Resa Shaner, PA-C
-
Jill Carolyn Nicholson, ARNP
National Provider Directory
Locations
1339 Alameda Ave
Fircrest, WA 98466
Phone (253) 564-7701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 601996685 | WA | Yes |
Addresses
Primary practice location
1339 Alameda Ave
Fircrest, WA 98466-6552
Mailing address
1339 Alameda Ave
Fircrest, WA 98466-6552
Phone (253) 564-7701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649558479 | Other | WA | NPI |
| 1518150119 | Other | WA | NPI |
Other providers in Fircrest, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.