Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 36 days before observation
Type 2 organization · NPI 1598691420
TWENTY8
246Z00000X · TACOMA, WA
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 246Z00000X | 246Z00000X | Primary |
| 101YM0800X | 101YM0800X | Additional |
| 171M00000X | 171M00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s