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

Concordia Star Medical LLC

Organization Multi-Specialty Clinic/Center · NPI 1508134792

Concordia Star Medical LLC is a Multi-Specialty Clinic/Center in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 7th Ave SW Ste A
Puyallup, WA 98371-6803
Phone: (253) 579-0067
Fax: (253) 579-0068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence MD00034362 (WA)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X · Licence MD00034362 (WA)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence MD00034362 (WA)

Record details

NPI number1508134792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ladie Arana-Domondon — Owner - Ceo · (253) 209-9009
NPI enumeratedDecember 2, 2011
Last updated in NPPESMay 15, 2015
Mailing address118 7th Ave Sw, Suite A, Puyallup, WA 98371-6803

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