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Individual

DR. TIMOTHY D RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
2719 E MADISON ST STE 301, SEATTLE, WA 98112-4752
(206) 909-3237
Mailing address
1008 W RUFFNER ST, SEATTLE, WA 98119-1429
(206) 909-3237

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61373734
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP61373734
NONE
Enumeration date
11/30/2022
Last updated
11/30/2022
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