| NPI | 1831411487 |
|---|---|
| Doing Business As | OPTUM TACOMA |
| Entity Type | Organization |
| Authorized Contact | CRAIG PEPIN Physician/Owner 206-860-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2024-10-03 |