Individual
ORATHAI NACKVISETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 FERRY AVE SW, SEATTLE, WA 98116-1718
(206) 938-1671
Mailing address
1700 FERRY AVE SW, SEATTLE, WA 98116-1718
(206) 938-1671
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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