Individual
MR. JAMES RONALD RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1540 140TH AVE NE STE 200, BELLEVUE, WA 98005-4516
(425) 644-6048
(425) 641-2721
Mailing address
1540 140TH AVE NE STE 200, BELLEVUE, WA 98005-4516
(425) 644-6048
(425) 641-2721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003848
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127989
LABOR AND INDUSTRIES
WA
01
—
RI8243
REGENCE BLUE SHIELD OF WA
WA
Enumeration date
01/11/2007
Last updated
07/08/2007
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