Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Puyallup Regenerative Medicine, PLLC

Organization General Practice Physician · NPI 1740872944

Puyallup Regenerative Medicine, PLLC provides General Practice Physician services in Puyallup, Washington. Registered with an NPI since 2021.

In the registry since
2021
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

1410 S Meridian Ste A
Puyallup, WA 98371-6902
Phone: (253) 841-4425
Fax: (253) 445-5712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1740872944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Church — President · (253) 332-3628
NPI enumeratedFebruary 9, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing addressPo Box 1272, Sumner, WA 98390-0250

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