Individual
DR. TYLER J NATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 8TH AVE NE STE 200, ISSAQUAH, WA 98029-5436
(425) 392-3030
(425) 392-2564
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 455-3600
(425) 455-3920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60291180
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD60291180
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298666
LABOR AND INDUSTRIES
WA
05
—
2021691
—
WA
01
—
P01152607
MEDICARE RR
WA
Enumeration date
10/30/2007
Last updated
04/30/2026
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