Individual
RICARDO WALTER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
12800 BOTHELL EVERETT HWY, EVERETT, WA 98208-6642
(425) 316-5150
(425) 225-1006
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006969
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7034218
—
WA
Enumeration date
01/19/2007
Last updated
03/05/2021
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