Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON R TACEY, LMP
Active Sole ProprietorJON R TACEY, LMP is a Contractor healthcare provider located in PORT ORCHARD, Washington. NPI 1275851289 is currently active in the NPPES registry. Verify at CMS.
Contractor · PORT ORCHARD, WA
Registration Details
- NPI Number
- 1275851289
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2010 (16.274763103333 yrs)
- Last Updated
- May 14, 2010
- License
-
MA60018860 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3100 SE MILE HILL DR STE APORT ORCHARD, WA, 983662962Browse WA providers · Browse ZIP 98366
- Phone
- 3608954844
- Fax
- 3608954834
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in PORT ORCHARD, WA
| Name | Credential | NPI |
|---|---|---|
| MS. HOLLY SUE FLYNN | LMP | 1003008863 |
| STARR MARIE TACEY | L.M.P. | 1477883387 |
| MRS. JENNIFER R SCHILLER | LMT | 1013227933 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.