1659822047 NPI number — YOUNG MEN'S CHRISTIAN ASSOCIATION OF PIERCE AND KITSAP COUNTIES

Table of content: DR. CHRISTOPHER TAK LAU M.D. (NPI 1548365968)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659822047 NPI number — YOUNG MEN'S CHRISTIAN ASSOCIATION OF PIERCE AND KITSAP COUNTIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YOUNG MEN'S CHRISTIAN ASSOCIATION OF PIERCE AND KITSAP COUNTIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659822047
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4717 S 19TH ST
Provider Second Line Business Mailing Address:
#201
Provider Business Mailing Address City Name:
TACOMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98405-1167
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-534-7800
Provider Business Mailing Address Fax Number:
253-566-9657

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4717 S 19TH ST
Provider Second Line Business Practice Location Address:
#201
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98405-1167
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-534-7800
Provider Business Practice Location Address Fax Number:
253-566-9657
Provider Enumeration Date:
10/20/2016

Additional Information

Authorized Official

Authorized Official Last Name:
PORTER
Authorized Official First Name:
ANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
253-534-7812

Provider Taxonomy Codes

  • Taxonomy code: 174H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com