Provider Demographics
NPI:1669532024
Name:U.S. ARMY
Entity type:Organization
Organization Name:U.S. ARMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY MEDICINE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:253-520-6248
Mailing Address - Street 1:22624 102ND PL SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-4200
Mailing Address - Country:US
Mailing Address - Phone:253-520-6248
Mailing Address - Fax:
Practice Address - Street 1:22624 102ND PL SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-4200
Practice Address - Country:US
Practice Address - Phone:253-520-6248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3444286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA331-8907Medicaid
WA331-8907Medicaid
WAVAD000Medicare ID - Type UnspecifiedMEDICARE