Individual
NAOMI MICHELLE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(253) 661-1700
Mailing address
PO BOX 26730, FEDERAL WAY, WA 98093-3730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C7-0005868
DE
2085N0904X
Nuclear Radiology Physician
Primary
OP61030552
WA
2085R0202X
Diagnostic Radiology Physician
031.0119594
VT
Other
Enumeration date
03/26/2015
Last updated
12/10/2020
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