Individual
NORA GAYLE RIVKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4126 37TH AVE SW, SEATTLE, WA 98126-2624
(206) 538-7099
Mailing address
4126 37TH AVE SW, SEATTLE, WA 98126-2624
(206) 538-7099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60415545
WA
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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