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

Organization Counselor · NPI 1366657918

The Ida Karlin Pediatric Center is a Counselor in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
5
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Practice location Address checks out

319 5th St SW
Puyallup, WA 98371-5828
Phone: (253) 848-0351
Fax: (253) 841-1397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD00015660 (WA)
Counselor Taxonomy 101Y00000X · Licence LH60394287 (WA)
Psychologist Taxonomy 103T00000X · Licence PY60385056 (WA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AP60312846 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP60311598 (WA)

Record details

NPI number1366657918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ovidio Penalver — Corporate Officer, Provider · (253) 848-0351
NPI enumeratedMay 14, 2007
Last updated in NPPESDecember 23, 2015
Mailing address319 5th St Sw, Puyallup, WA 98371-5828

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