Provider Demographics
NPI:1831311141
Name:SUMME MEDICAL CLINIC
Entity Type:Organization
Organization Name:SUMME MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:L
Authorized Official - Last Name:SUMME
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:425-670-8134
Mailing Address - Street 1:7614 195TH ST. SW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ED,MONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026
Mailing Address - Country:US
Mailing Address - Phone:425-670-8134
Mailing Address - Fax:425-771-1470
Practice Address - Street 1:7614 195TH ST. SW
Practice Address - Street 2:SUITE 200
Practice Address - City:ED,MONDS
Practice Address - State:WA
Practice Address - Zip Code:98026
Practice Address - Country:US
Practice Address - Phone:425-670-8134
Practice Address - Fax:425-771-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty