OrganizationActive
Prime Health Clinic PLLC
NPI 1710306436 · Pediatric Gastroenterology Physician · Puyallup, WA
Provider details
- NPI number
- 1710306436
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Abeer Alidlebi, General Manger(253) 740-0977
- License
- 60306063 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1004 E Main Ste D
Puyallup, WA 98372-3199
Phone: (253) 268-0720
Fax: (253) 466-7072
Street-level locationGet directions
Mailing address
1004 E Main Ste D
Puyallup, WA 98372-3199
Additional practice locations (3)
- 1907 Cooks Hill RdCentralia, WA 98531-9073Phone: (253) 268-0720Fax: (253) 466-7072
- 5801 Soundview Dr Ste 156Gig Harbor, WA 98335-2215Phone: (253) 268-0720Fax: (253) 466-7072
- 1802 Yakima Ave Ste 202Tacoma, WA 98405-5304Phone: (253) 268-0720Fax: (253) 466-7072
Registry dates
- Enumerated
- 2014-04-09
- Last updated
- 2021-08-29
- Certified
- 2021-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.