Individual
DANIEL THOMAS BORKERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1201 PACIFIC AVE STE 400, TACOMA, WA 98402-4381
(253) 300-8453
(253) 559-6188
Mailing address
1201 PACIFIC AVE STE 1950, TACOMA, WA 98402-4338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60882878
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2123323
—
WA
Enumeration date
10/22/2018
Last updated
03/01/2021
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