Individual
DR. JONATHAN RAFFESBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, NP-C
Contact information
Practice address
1201 PACIFIC AVE STE 400, TACOMA, WA 98402-4381
(253) 203-3131
Mailing address
5601 146TH STREET CT E, PUYALLUP, WA 98375-5001
(608) 512-6798
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60889606
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122662
—
WA
Enumeration date
09/10/2018
Last updated
03/18/2021
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