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

Puyallup Regenerative Medicine, PLLC

Organization General Practice Physician · NPI 1740872944

Puyallup Regenerative Medicine, PLLC is a General Practice Physician in Puyallup, Washington. Registered with an NPI since 2021.

In the registry since
2021
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

1410 S Meridian Ste A
Puyallup, WA 98371-6902
Phone: (253) 841-4425
Fax: (253) 445-5712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1740872944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Church — President · (253) 332-3628
NPI enumeratedFebruary 9, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing addressPo Box 1272, Sumner, WA 98390-0250

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