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

Dr. Charles Abe Andersen

Individual provider Vascular Surgery Physician · NPI 1639149479

Dr. Charles Abe Andersen is a Vascular Surgery Physician in Tacoma, Washington. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-3885
Fax: (253) 968-5997
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 151353-1205 (UT)

Record details

NPI number1639149479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 24, 2006
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address1302 28th Avenue Ct, Milton, WA 98354-7007

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