Individual
NATHAN MICHAEL ANDREW BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2023
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2023
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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