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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255795639

Jeffrey Ken Lio, MD is an Internal Medicine in Puyallup, Washington. Qualified in 2016, 10 years ago. Practices with South Sound Inpatient Physicians PLLC, a 427-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 15th Ave SE
Puyallup, WA 98372-3715
Phone: (253) 697-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 60943937 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255795639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 11, 2016
Last updated in NPPESNovember 6, 2021
Certification dateNovember 6, 2021
Mailing address1515 Tacoma Ave S Apt 304, Tacoma, WA 98402-1823

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice South Sound Inpatient Physicians Pllc — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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