National Provider Identifier Database

PACIFIC LUTHERAN UNIVERSITY
Student Health


Contact Information

PACIFIC LUTHERAN UNIVERSITY
12108 S PARK AVE
TACOMA, WA98447-0001
Phone: 253-535-7337
Fax: 253-536-5042
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for PACIFIC LUTHERAN UNIVERSITY

NPI Number 1114241478
Legal business name
LBN
PACIFIC LUTHERAN UNIVERSITY
Authorized official AUDRY KAHLSTROM - (ARNP)
Entity Organization
Organization subpart No
Enumeration date 03/16/2010
Last updated 03/16/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 60128007

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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