Individual
KEVIN NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17901 BOTHELL EVERETT HWY STE F-104, BOTHELL, WA 98012-6387
(425) 424-3924
(425) 424-3941
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60466591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040088
—
WA
01
—
P01610738
RR MEDICARE
WA
Enumeration date
09/12/2014
Last updated
11/13/2017
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