Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Puyallup Children's Clinic, PLLC

Organization Pediatric Adolescent Medicine Physician · NPI 1841407285

Puyallup Children's Clinic, PLLC provides Pediatric Adolescent Medicine Physician services in Puyallup, Washington. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1322 3rd St SE Ste #240
Puyallup, WA 98372-3771
Phone: (253) 848-1572
Fax: (253) 841-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1841407285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Jolley — Owner · (253) 848-1572
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1322 3rd St Se, Ste #240, Puyallup, WA 98372-3771

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