Individual
DR. H. MARTIN VATHEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37624 SE FURY ST STE 101, SNOQUALMIE, WA 98065-9680
(425) 888-2016
(206) 320-5170
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00038990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8279036
—
WA
Enumeration date
09/27/2006
Last updated
06/17/2020
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