Individual
NATHANIEL A DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 248-8291
(509) 225-2704
Mailing address
504 N 40TH AVE, YAKIMA, WA 98908-4311
(509) 966-9480
(509) 225-2704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043965
WA
Other
Enumeration date
09/14/2005
Last updated
08/14/2013
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