HomeNPI Verification

NPI Verification

National Provider Identifier: 1831121268

Clyde R Addison, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

2420 S UNION AVE STE 240

TACOMA, WA 984051323

Phone: 253-459-6166

NPI Enumeration Date

July 7, 2006

NPI Number

1831121268

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry