Staci Coleman

NPI 1093251423 · on the registry since 2017

Practice

Address: 2000 Lakeridge Dr Sw
Bldg 3
Olympia, WA 98502
Phone: (360) 867-2034
Fax: (360) 867-2036
Organisation at this address: Pierce County Alliance
Thurston County Sheriff'S Office
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington