Individual
TIMOTHY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 NORTHUP WAY STE 105, BELLEVUE, WA 98004-1438
(206) 501-4342
Mailing address
1730 196TH ST SE APT K303, BOTHELL, WA 98012-3917
(573) 230-3664
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61509261
WA
Other
Enumeration date
11/03/2023
Last updated
10/08/2024
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