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

Puyallup Children's Clinic, PLLC

Organization Pediatric Adolescent Medicine Physician · NPI 1841407285

Puyallup Children's Clinic, PLLC is a Pediatric Adolescent Medicine Physician in Puyallup, Washington. Registered with an NPI since 2007.

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

1322 3rd St SE Ste #240
Puyallup, WA 98372-3771
Phone: (253) 848-1572
Fax: (253) 841-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1841407285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Jolley — Owner · (253) 848-1572
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1322 3rd St Se, Ste #240, Puyallup, WA 98372-3771

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