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Active NPI 1437223765 Organization (Entity Type 2)

Michael Tepper Md Ps

Clinic/Center - Primary Care • Enumclaw, WA

About Michael Tepper Md Ps NPI 1437223765 Summary

Michael Tepper Md Ps is a verified healthcare organization specializing in Clinic/Center - Primary Care operating in Enumclaw, WA. Located at 1427 JEFFERSON AVE, SUITE102, this facility provides patient care and medical services under National Provider Identifier (NPI) 1437223765.

Administrative operations and authorized compliance are overseen by Michael Tepper (President).

The facility is associated with 9 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1427 Jefferson Ave
Suite102

Enumclaw, WA 980223649

Telephone 3608020803

Fax 3608020806

Authorized Official Information

Authorized Contact Name

DR. Michael Tepper , MD

Title / Role

President

Official Telephone

3608020803

Facility Classifications & Specialties

Clinic/Center - Primary Care Primary Taxonomy

NUCC Taxonomy Code: 261QP2300X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

9 Linked

Dr. Emitis Hosoda , MD NPI 1104994250

Specialist

Enumclaw, WA

View Practitioner Profile →

Dr. Tanya Wilke , MD NPI 1235339359

Family Medicine

Enumclaw, WA

View Practitioner Profile →

Anthony Jordan , PA-S NPI 1336548064

Physician Assistant

Enumclaw, WA

View Practitioner Profile →

Rhonda Martinez , FNP-BC, ARNP NPI 1346434552

Nurse Practitioner - Family

Enumclaw, WA

View Practitioner Profile →

Dr. Gene Trobaugh , MD FACC NPI 1538227046

Internal Medicine - Cardiovascular Disease

Enumclaw, WA

View Practitioner Profile →

Dr. Stephen Atkinson , MD NPI 1568513703

Surgery

Enumclaw, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active March 08, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 08, 2013

Registered at 1427 JEFFERSON AVE, SUITE102, ENUMCLAW, WA 980223649 (Tel: 3608020803)

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Updated Business Mailing Address March 08, 2013

Registered at PO BOX 3509, RENTON, WA 980560016 (Tel: 3608020803)

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Organization / Clinic Name Updated March 08, 2013

Operating as MICHAEL TEPPER MD PS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2013

Clinic/Center (License #602-353-095 in WA)

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Initial NPI Registration & Enumeration November 20, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1437223765

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 20, 2006

Last Update: March 08, 2013

Update or Correct Listing

Mailing Address

Po Box 3509

Renton, WA 980560016

Phone: 3608020803

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.