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

Justin Michael Medlock, DO

Individual provider Family Medicine Physician · NPI 1891132866

Justin Michael Medlock, DO is a Family Practice in Tacoma, Washington. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2013, 13 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
13
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
WA
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2209 E 32nd St
Tacoma, WA 98404-4922
Phone: (253) 593-0232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP60668377 (WA)

Record details

NPI number1891132866
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 30, 2013
Last updated in NPPESNovember 8, 2016
Mailing address1007 39th Ave Se, Puyallup, WA 98374-2192

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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