IndividualActive
Clyde Koontz, MD
NPI 1184617607 · Critical Care Medicine (Internal Medicine) Physician · Tacoma, WA
Provider details
- NPI number
- 1184617607
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 14794 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
316 Martin Luther King Jr Way
Suite 401
Tacoma, WA 98405-4252
Phone: (253) 572-5140
Fax: (253) 272-0419
Approximate (ZIP-level) locationGet directions
Mailing address
316 Martin Luther King Jr Way Ste 401
Tacoma, WA 98405-4266
Registry dates
- Enumerated
- 2005-08-30
- Last updated
- 2008-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.