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

Sea Mar Community Health Centers

Organization Family Medicine Physician · NPI 1104974419

Sea Mar Community Health Centers is a Family Medicine Physician in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
15

Practice location Address checks out

1112 S Cushman Ave
Tacoma, WA 98405-3631
Phone: (253) 593-2144
Fax: (253) 246-6725
Show map & directions

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

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X · Licence 600537278 (WA)
Family Medicine Physician Taxonomy 207Q00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Internal Medicine Physician Taxonomy 207R00000X
Infectious Disease Physician Taxonomy 207RI0200X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Pediatrics Physician Taxonomy 208000000X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X
General Practice Physician Taxonomy 208D00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1104974419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Bartolo — Executive Vice President · (206) 763-5277
Other names Sea-Mar Community Health Center; Sea Mar Chc Tacoma Medical - Cushman
NPI enumeratedJanuary 5, 2007
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing addressPo Box 34703, Seattle, WA 98124-1703

Other providers in Tacoma