Individual
NATHAN BITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 15TH AVE SE STE A, PUYALLUP, WA 98372-3750
(253) 841-4311
(253) 627-8792
Mailing address
4230 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4335
(253) 779-6325
(253) 627-8792
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ML20007539
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11839467
CAQH
—
05
—
7058480
—
WA
01
—
MD60006974
MD LICENSE
WA
Enumeration date
08/16/2006
Last updated
09/09/2020
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