OrganizationActive
Tenino Family Practice PLLC
NPI 1487056511 · Adolescent Medicine (Family Medicine) Physician · Tenino, WA
Provider details
- NPI number
- 1487056511
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Leyton Jump, Sole Member
- License
- MD00022762 (WA)
Practice location
273 Sussex Ave E
Tenino, WA 98589-9359
Phone: (360) 264-5665
Fax: (360) 264-5666
Mailing address
Po Box 4020
Tenino, WA 98589-4020
Registry dates
- Enumerated
- 2014-09-19
- Last updated
- 2014-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.