Individual
MR. RYAN BOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(360) 782-7108
Mailing address
15018 12TH DR SE, MILL CREEK, WA 98012-1395
(425) 330-2281
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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