Individual
DAWDA CHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 S GRADY WAY STE 400, RENTON, WA 98057-3227
(206) 348-8685
(206) 309-3319
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3227
(206) 348-8685
(206) 309-3319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60092579
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP61008322
WA
Other
Enumeration date
11/20/2019
Last updated
08/07/2023
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