Puget Sound Specialty Physicians, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PUGET SOUND SPECIALTY PHYSICIANS, PLLC

Practice address

2820 Griffin Ave
Suite 100
Enumclaw, WA 98022-2373

Phone

(360) 802-5231

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Jeanine Kirpes

Title

Office Manager

Phone

(360) 802-5231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1992901151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 GRIFFIN AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GRIFFIN AVE",
            "address_2": "SUITE 100",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222373",
            "telephone_number": "360-802-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND SPECIALTY PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KIRPES",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-802-5231"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Poortvliet
• Gouri Bhawan Pothini, M.D.
• Jamie Lynn Prak
• Kristine Princehouse
• Puget Sound Specialty Physicians PLLC
• Jamie D Purple, LMP
• Julianna Dionne Pyle Vanhoof, COTA/L
• Patricia Ann Reyes Quaine, M.D.
• Quezada Enterprises Inc
• Donna M Quezada, DC

• Specialist in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.