Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridgeport Medical Clinic PLLC

Organization Clinic/Center · NPI 1982855995

Bridgeport Medical Clinic PLLC is a Clinic/Center in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 10th Ave SE
Puyallup, WA 98372-3875
Phone: (253) 845-7566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence MD00041157 (WA)

Record details

NPI number1982855995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Kim — Member · (253) 797-9234
NPI enumeratedOctober 8, 2008
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address152 S 295th Pl, Federal Way, WA 98003-3659

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