Individual
WILLIAM ROBERT RIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(360) 631-4605
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
Other
Enumeration date
09/11/2019
Last updated
03/03/2022
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