Individual
ETHAN WILLIAM HARRY RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(925) 399-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(925) 399-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61597191
—
Other
Enumeration date
09/03/2024
Last updated
05/12/2025
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