SearchWashington163W00000X

Blase Kissinger, RN

NPI 1700402872 · on the registry since 2020

Practice

Address
721 Fawcett Ave
Tacoma, WA 98402
Phone
(253) 593-2413
Fax
(253) 627-4817
Organisation at this address
Tacoma Detoxification Center
Metropalitan Development Council
Metropolitan Development Council
Inferred from a shared address, not stated in the registry.
Clinicians at this address
95

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-24

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