Dr. Kristina Siu Petsas
Family Doctor
209 Martin Luther King Jr Way
Tacoma
, Washington 98405-4265
Dr. Kristina Siu Petsas
Family Doctor
209 Martin Luther King Jr Way
Tacoma
, Washington 98405-4265
(253) 596-3300
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Kristina Siu Petsas
- 209 Martin Luther King Jr Way
- Tacoma, WA
- Zip : 98405-4265
- Phone : (253) 596-3300
Second Address
- Dr. Kristina Siu Petsas
- 209 Martin Luther King Jr Way
- Tacoma, WA
- Zip : 98405-4265
- Phone : (253) 596-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 60674964 | WA |
National Provider Identifier
| NPI | 1003159948 |
|---|---|
| Provider Name | Dr. Kristina Siu Petsas |
| First Address | Tacoma, WA 98405-4265 |
| Second Address | Tacoma, WA 98405-4265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2013 |
| Last Update Date | 28/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.