Individual
MR. GABE RAPHAEL WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
6884 HANNEGAN RD, EVERSON, WA 98247-9637
(360) 354-0766
(360) 354-7667
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61598757
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61598757
WA
Other
Enumeration date
08/19/2024
Last updated
11/13/2025
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