Individual provider · Type 1 NPI

Nathan Daniel Lickteig, DO

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1649912452 Active

Practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Call (206) 543-1140 Map

Mailing address

MSC08 4640 1 University Of New Mexico
Albuquerque, NM 87131-0001

Other practice locations

  • MSC08 4640 1 University Of New Mexico, Albuquerque, NM 87131-0001 · (505) 272-4814

Specialties and licenses

TaxonomyCodeLicense
Blood Banking & Transfusion Medicine Physician 207ZB0001XDO.OP.70077130 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649912452

Nathan Daniel Lickteig, DO's National Provider Identifier is 1649912452, issued on Apr 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Jun 18, 2026.