BREANNA LYNN POLK


Address: 1724 W Union Ave, Tacoma, WA 98405-2099
Phone: 2538305200

BREANNA LYNN POLK (NPI# 1942725072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942725072
Entity Type Individual
Full Name BREANNA LYNN POLK
Credential PA-C
Practice Address 1724 W Union Ave
Tacoma
WA 98405-2099
Mailing Address 805 Madison St Ste 901
Seattle
WA 98104-1172
Practice Telephone 2538305200
Mailing Telephone 2062648100
Enumeration Date 2017-08-09
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA60796887 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7308 Bridgeport Way W Ste 201, Lakewood, WA 984998000 2535827257 2535821617

Other Providers BREANNA POLK

NPI Name Taxonomy Address Enumeration
1407227127 Breanna Polk Counselor 8915 Harry Hines Blvd, Dallas, TX 75235-1717 2015-10-08

Office Location

Street Address 1724 W UNION AVE
City TACOMA
State WA
Zip Code 98405-2099

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891761177 Jillanna Marie Allen Specialist/Technologist 1724 W Union Ave, Suite 100, Tacoma, WA 98405-2099 2006-02-27
1477742161 Katie Allison Hadley Registered Nurse 1724 W Union Ave, Tacoma, WA 98405-2099 2007-10-17
1619197449 Nicholas Scott Harrison Specialist/Technologist 1724 W Union Ave, Tacoma, WA 98405-2099 2007-04-26
1700985611 John M Blair Jr. Orthopaedic Surgery 1724 W Union Ave, Tacoma, WA 98405-2099 2006-09-21
1750392049 John H Bargren Orthopaedic Surgery 1724 W Union Ave, Tacoma, WA 98405-2099 2006-08-11
1790726768 Michael J Martin Orthopaedic Surgery 1724 W Union Ave, Tacoma, WA 98405-2099 2006-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
Find all providers in zip 98405

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124147087 Aniko A Szentes Physician Assistant 3708 55th St Ne, Tacoma, WA 98422-4571 2007-03-29
1053324186 Tommy Lamar Jackson Physician Assistant 1802 Yakima Ave Ste 204, Tacoma, WA 98405-5304 2006-08-13
1396763140 Jerry John Papson Physician Assistant 1812 South J St, Suite 210, Tacoma, WA 98405-4964 2006-07-18
1215996798 Jill Tricia Eggersknight Physician Assistant Orthopedic Surgery Service, Attn: Mchj-sop, Tacoma, WA 98431-0001 2006-03-22
1588127062 Sung Ho Kim Physician Assistant 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 2019-04-10
1215407770 Monica Huang Physician Assistant 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 2018-11-27
1154803237 Limary Gonzalez Physician Assistant 1717 S J St, Tacoma, WA 98405-4933 2018-09-05
1104354190 Samantha Sokol Physician Assistant 1717 S J St, Tacoma, WA 98405-4933 2017-06-02
1548662752 Tomasz Gondek Physician Assistant 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2014-09-18
1740689330 Jonathon Mcjilton Sr. Physician Assistant 1717 S J St, Tacoma, WA 98405-4933 2014-08-19
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98405

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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