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

Mitchell Evan Maisel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174243539

Mitchell Evan Maisel is a Student in an Organized Health Care Education/Training Program in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone: (253) 403-1000
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD.MD.70016076 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174243539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address315 Martin Luther King Jr Way, Tacoma, WA 98405-4234

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