Search › Washington › 363A00000X
Tamara Mickelson, PA-C
NPI 1326457813 · on the registry since 2014
Practice
- Address
- 11511 Canterwood Blvd Ste 105
Gig Harbor, WA 98332 - Phone
- (253) 985-2949
- Fax
- (253) 985-2948
- Organisation at this address
- Commonspirit Washington
Peninsula Rad Onc Ctr Llc
Northwest Medical Specialist
John A. Hodges Dds & Daniel Lee Dds, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 2200 Nw Myhre Rd, Silverdale, WA
- 2200 Nw Myhre Rd, Silverdale, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-18
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