Individual
RICHARD ALAN BETHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(360) 299-1300
(360) 299-1312
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00027341
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209139
LIWA
WA
01
—
7503BE
BSWA
WA
05
—
8119059
—
WA
Enumeration date
06/07/2006
Last updated
05/23/2008
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