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Amanda Fogarty

NPI 1598232662 · on the registry since 2018 · sole proprietor

Practice

Address
711 Commerce St Ste 204
Tacoma, WA 98402
Phone
(603) 692-8173
Clinicians at this address
19

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
106S00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-22

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