Individual
CHARLES ROBERT BETKER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
711 112TH ST SE, SUITE C, EVERETT, WA 98208-5283
(425) 355-5000
Mailing address
711 112TH ST SE, SUITE C, EVERETT, WA 98208-5283
(425) 355-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019202
WA
Other
Enumeration date
07/21/2007
Last updated
06/26/2009
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