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

Up Family Medicine PLLC

Organization Health Service Clinic/Center · NPI 1417577909

Up Family Medicine PLLC is a Health Service Clinic/Center in University Place, Washington. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4114 Bridgeport Way W
University Place, WA 98466-4315
Phone: (253) 564-8100
Fax: (253) 564-8387
Show map & directions

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

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1417577909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tai Davalos — Manager · (253) 564-8100
NPI enumeratedApril 24, 2020
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020
Mailing address4114 Bridgeport Way W, University Place, WA 98466-4315

Other providers in University Place