Basic Information
Provider Information
NPI: 1790120608
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIEKER
FirstName: ASHLEY
MiddleName: E.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1019 PACIFIC AVE STE 300
Address2:  
City: TACOMA
State: WA
PostalCode: 984024488
CountryCode: US
TelephoneNumber: 2537221576
FaxNumber: 2537221546
Practice Location
Address1: 3124 S 19TH ST STE 200
Address2:  
City: TACOMA
State: WA
PostalCode: 984052433
CountryCode: US
TelephoneNumber: 2537926166
FaxNumber: 2534596165
Other Information
ProviderEnumerationDate: 05/06/2013
LastUpdateDate: 04/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD60576062WAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207Q00000XMD60576062WAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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