Provider Demographics
NPI:1609502459
Name:TUPOU, KARINA IOSEPA
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:IOSEPA
Last Name:TUPOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14942 20TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1604
Mailing Address - Country:US
Mailing Address - Phone:206-601-8081
Mailing Address - Fax:
Practice Address - Street 1:14942 20TH AVE SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1604
Practice Address - Country:US
Practice Address - Phone:206-601-8081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator