Search › Washington › 171W00000X
Jon Tacey, LMP
NPI 1275851289 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3100 Se Mile Hill Dr Ste A
Port Orchard, WA 98366 - Phone
- (360) 895-4844
- Fax
- (360) 895-4834
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-14
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