Individual
NATHAN RIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13115 NE 4TH ST, 100, VANCOUVER, WA 98684-5957
(360) 696-1070
Mailing address
13115 NE 4TH ST, 100, VANCOUVER, WA 98684-5957
(360) 696-1070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160228645
WA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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