Individual
ZACHARY DAVID WILLMARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1706 S MERIDIAN STE 120, PUYALLUP, WA 98371-7516
(253) 848-8797
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(541) 975-3037
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202104633NP-PP
OR
Other
Enumeration date
10/01/2019
Last updated
09/14/2021
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