Individual
DR. ROBB K NAGATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E PIONEER STE 101, PUYALLUP, WA 98372-3256
(253) 445-5828
Mailing address
6110 62ND AVENUE CT NW, GIG HARBOR, WA 98335-7483
(541) 554-0126
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00048911
WA
207L00000X
Anesthesiology Physician
MD14600
HI
207L00000X
Anesthesiology Physician
MD25021
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022482
—
OR
05
—
8519274
—
WA
01
—
A057
TRICARE
OR
01
—
P00145889
RAILROAD MEDICARE
OR
01
—
P00655519
RAILROAD MEDICARE
OR
Enumeration date
07/14/2006
Last updated
04/08/2020
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