Individual
RAFAEL PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT/R
Contact information
Practice address
2700 NW PINE CONE DR, #103, ISSAQUAH, WA 98027-8663
(505) 307-4798
Mailing address
2700 NW PINE CONE DR, #103, ISSAQUAH, WA 98027-8663
(505) 307-4798
Taxonomy
Speciality
Code
Description
License number
State
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
Primary
60062042
WA
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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