University Place Medical Clinic – Family Medicine Physician, NPI 1376572065

University Place Medical Clinic is a healthcare provider. based in University place, Washington. specializing in Family Medicine Physician. The NPI Number for University Place Medical Clinic is 1376572065

Main info

Organization
Name
University Place Medical Clinic
NPI
1376572065
Phone
(253) 564-0170
Address
7210 40TH ST W
Authorized Official
CLIFF A ROBERTSON CHIEF MEDICAL OFFICER MD
Enumeration Date
3 July 2006
Last Update Date
24 June 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for University Place Medical Clinic

  • Light Dental Studios, 7210, 40th Street West, Hiddenwood West, University Place, Pierce County, Washington, 98466, United States

    STE 100

    UNIVERSITY PLACE, WA 984664318

    Phone: (253) 564-0170

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98466)

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Reviews

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Frequently asked questions

Can I verify University Place Medical Clinic with an NPI only?
You can start verification with NPI 1376572065 for University Place Medical Clinic, then check state licensing separately.
Is University Place Medical Clinic still practicing?
University Place Medical Clinic is currently listed as active in the public NPI registry.
What healthcare role does University Place Medical Clinic hold?
Scheduling teams often label University Place Medical Clinic under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect University Place Medical Clinic on a map?
Expect University Place, Washington as a primary anchor for University Place Medical Clinic unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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