Individual provider · Type 1 NPI
Courtney Nicole Raddatz, LMP
Specialist · Tacoma, WA
NPI number
1780743542
Active
Practice location
1919 N Pearl St Ste A4
Tacoma, WA 98406-2456
Fax (253) 761-8746
Mailing address
943 9th St SE Apt 2
Puyallup, WA 98372-5710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 00018940 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1780743542
Courtney Nicole Raddatz, LMP's National Provider Identifier is 1780743542, issued on Dec 7, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tacoma, WA. The record was last updated on Jul 29, 2008.