Individual
DAM VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3000
Mailing address
5517 149TH PL SW, EDMONDS, WA 98026-4337
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LR00000217
WA
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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