Search › Washington › 163WP0807X
Autumn Runyan
NPI 1215538194 · on the registry since 2020
Practice
- Address
- 721 Fawcett Ave
Tacoma, WA 98402 - Phone
- (253) 383-3921
- Organisation at this address
- Tacoma Detoxification Center
Metropalitan Development Council
Metropolitan Development CouncilInferred from a shared address, not stated in the registry. - Clinicians at this address
- 95
Additional practice sites
- 4103 219th St E, Spanaway, WA
Registry record
- Primary taxonomy
- 163WP0807X
163WP0807X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-05
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