OrganizationActive
Puyallup Children'S Clinic, PLLC
NPI 1841407285 · Pediatric Adolescent Medicine Physician · Puyallup, WA
Provider details
- NPI number
- 1841407285
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Jolley, Owner(253) 848-1572
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1322 3rd St Se
Ste #240
Puyallup, WA 98372-3771
Phone: (253) 848-1572
Fax: (253) 841-3719
Approximate (ZIP-level) locationGet directions
Mailing address
1322 3rd St Se
Puyallup, WA 98372-3771
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.