Individual
RAJU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 S UNION AVE BLDG B, SUITE 3001, TACOMA, WA 98405-1702
(253) 572-4900
(253) 572-4645
Mailing address
1901 S UNION AVE, STE B5003, TACOMA, WA 98405-1805
(253) 572-4900
(253) 572-4645
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP0001797
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300PA
REGENCE
WA
01
—
160350
DEPARTMENT OF L&I
WA
01
—
1708PA
REGENCE
WA
01
—
1800PA
REGENCE
WA
01
—
1802PA
REGENCE
WA
01
—
4788PA
REGENCE
WA
05
—
8313397
—
WA
Enumeration date
01/11/2007
Last updated
03/09/2020
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