National Provider Identifier Database

PACIFIC MEDICAL DIALYSIS SERVICES
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

PACIFIC MEDICAL DIALYSIS SERVICES
3020 S UNION AVE
TACOMA, WA98409-3317
Phone: 253-310-2236
Fax:
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X
Dialysis Equipment & Supplies 332BD1200X
Dialysis, Peritoneal 163WD1100X
Hemodialysis 163WH0500X
Renal Dialysis 2472R0900X

* Indicates primary specialty

NPI Profile & details for PACIFIC MEDICAL DIALYSIS SERVICES

NPI Number 1285406249
Legal business name
LBN
PACIFIC MEDICAL DIALYSIS SERVICES
Authorized official CHARLES MINN - (MD)
Entity Organization
Organization subpart No
Enumeration date 10/24/2023
Last updated 11/10/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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