| Organization Name: | OCCUPATIONAL MEDICAL CLINIC OF TACOMA, INC.,PS |
| NPI Number: | 1194982629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICK W. URAGA (MEDICAL DIRECTOR) |
| Mailing Address: | 4703 Pacific Hwy E Fife |
| State: | WA US |
| Postal Code: | 984242620 |
| Phone Number: | 2539229570 |
| Fax Number: | 2539229587 |
| NPI Enumeration Date: | 05/21/2008 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | 602192265 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |