OrganizationActive
Puyallup Regenerative Medicine, PLLC
NPI 1740872944 · General Practice Physician · Puyallup, WA
Provider details
- NPI number
- 1740872944
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Church, President(253) 332-3628
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1410 S Meridian Ste a
Puyallup, WA 98371-6902
Phone: (253) 841-4425
Fax: (253) 445-5712
Street-level locationGet directions
Mailing address
Po Box 1272
Sumner, WA 98390-0250
Registry dates
- Enumerated
- 2021-02-09
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.