Individual
MR. RICHARD REX MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
723 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4139
(253) 383-4447
(253) 383-7574
Mailing address
723 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4139
(253) 383-4447
(253) 383-7574
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI60560917
WA
224P00000X
Prosthetist
Primary
PS60560910
WA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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