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

The Ida Karlin Pediatric Center

Organization Counselor · NPI 1366657918

The Ida Karlin Pediatric Center provides Counselor services in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
5
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Practice location Address checks out

319 5th St SW
Puyallup, WA 98371-5828 Not confirmed with CMS for 10 years — call before visiting
Phone: (253) 848-0351
Fax: (253) 841-1397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD00015660 (WA)
Counselor Taxonomy 101Y00000X · Licence LH60394287 (WA)
Psychologist Taxonomy 103T00000X · Licence PY60385056 (WA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AP60312846 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP60311598 (WA)

Record details

NPI number1366657918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ovidio Penalver — Corporate Officer, Provider · (253) 848-0351
NPI enumeratedMay 14, 2007
Last updated in NPPESDecember 23, 2015
Mailing address319 5th St Sw, Puyallup, WA 98371-5828

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