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

Genesis Obstetrics and Gynecology PLLC

Organization Gynecology Physician · NPI 1972713055

Genesis Obstetrics and Gynecology PLLC is a Gynecology Physician in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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

314 Martin Luther King Jr Way Ste 401
Tacoma, WA 98405-4250
Phone: (253) 460-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence OP00001459 (WA)

Record details

NPI number1972713055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnette Maehren — Owner · (253) 460-7777
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address314 Martin Luther King Jr Way, Suite 401, Tacoma, WA 98405-4250

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