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

Prudent Medical Providers NW

Organization Family Medicine Physician · NPI 1699364455

Prudent Medical Providers NW is a Family Medicine Physician in Federal Way, Washington. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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Practice location Address checks out

1045 S 320th St Ste 7
Federal Way, WA 98003-5179
Phone: (206) 212-6554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4523 42nd St Ne, Tacoma, WA 98422-2424 — (206) 245-4902
  • 4306 40th Ave Ne, Tacoma, WA 98422-2488 — (206) 245-4902

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1699364455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristyn Dice — Contracting Manager · (208) 717-3944
Other names N/A; N/A
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJuly 13, 2023
Certification dateJuly 29, 2021
Mailing address4523 42nd St Ne, Tacoma, WA 98422-2424

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