Puyallup Clinic Inc
NPI 1497874903ActiveOrganization· Clinic/Center· Puyallup, WA
Clinic/Center in Puyallup, Washington, registered in NPPES in March 2007. The authorized official on file is Jerry Fred Duris, MD, President And Ceo.
Overview
| NPI | 1497874903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Jul 31, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 261Q00000X | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 15 Clinic/Center providers in Puyallup · All Clinic/Center providers in Washington