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Concordia Star Medical LLC

Primary Care Clinic/Center in Puyallup, WA · enumerated 2015 · authorized official Ladie Arana-Domondon, Owner/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790163491

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Registry record

Entity type Organization (Type 2)
Legal business name Concordia Star Medical LLC
Practice address 118 7th Ave Sw, Suite A, Puyallup, WA, 98371
Phone (253) 579-0067
Fax (253) 579-0068
Enumeration date May 13, 2015
Last updated in NPPES May 13, 2015

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ladie Arana-Domondon
Title Owner/Ceo
Phone (253) 579-0067

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-05-13. Verify at npiregistry.cms.hhs.gov.
Where is Concordia Star Medical LLC located?
The practice location on file with NPPES is in Puyallup, WA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-13.