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Individual

RICHARD WARREN BORTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
33516 9TH AVE S, BLDG 1, FEDERAL WAY, WA 98003-6322
(253) 838-2501
(253) 838-1354
Mailing address
33516 9TH AVE S, BLDG 1, FEDERAL WAY, WA 98003-6322
(253) 838-2501
(253) 838-1354

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
WA383
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7069909
WA
Enumeration date
08/16/2005
Last updated
07/08/2007
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