| Doctor Name: | TRAVIS ANTHONY DALTON |
| NPI Number: | 1235394321 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | AP60035046 |
| Business Practice Address: | 27203 216th Ave Se Ste D Maple Valley, WA - 980383273 |
| Business Phone Number: | 4256564100 |
| Business Fax Number: | 4256564109 |
| Mailing Address: | 3600 Lind Ave Sw, Ste 100 RENTON |
| State: | WA |
| Postal Code: | 980574934 |
| Phone Number: | 4256565412 |
| Fax Number: | 4256564096 |
| NPI Enumeration Date: | 07/28/2008 |
| NPI Last Update Date: | 07/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60035046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |