Doctor Name: | DR. TYLER J NATHE |
NPI Number: | 1710166467 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1231 116th Ave Ne Suite 750 Bellevue, WA - 980043804 |
Business Phone Number: | 4254553600 |
Business Fax Number: | 4254553220 |
Mailing Address: | 805 Madison St, Suite 901 SEATTLE |
State: | WA |
Postal Code: | 981041172 |
Phone Number: | 2062648100 |
Fax Number: | 2062648689 |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |