Individual
MR. CHARLES GENE TATUM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 16TH AVE E, SEATTLE, WA 98112-5212
(206) 591-8389
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 591-8389
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/31/2025
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