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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NATHAN E DAVIDSON, LCPO

Active

MR. NATHAN E DAVIDSON, LCPO is a Specialist healthcare provider located in PUYALLUP, Washington. NPI 1679763247 is currently active in the NPPES registry. Verify at CMS.

Specialist · PUYALLUP, WA

Registration Details

NPI Number
1679763247
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2007 (19.036873327657 yrs)
Last Updated
May 10, 2012
Licenses
OI00000477 (WA)
PS 60145968 (WA)

Practice Information

Address
812 39TH AVE SW
SUITE D
PUYALLUP, WA, 983735915
Browse WA providers · Browse ZIP 98373
Phone
2537706578
Fax
2538811397
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

Other Specialist Providers in PUYALLUP, WA

Name Credential NPI
DR. OVIDIO MOISES PENALVER MD, PS 1457357964
WILLIAM S POLLARD III M.D. 1215941786
LINDA S CRAIG PT 1881703528
ALICE D WALTER PT 1811006562
TERREL J MICHEL M.D. 1215020995
MR. JOSEPH WARNESS LMP 1497843619
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.