Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 60753234 | WA |
NPI | 1013186220 |
---|---|
Provider Name | Dr. Nathan Kinneer Friedline |
First Address | Tacoma, WA 98433 |
Second Address | Tacoma, WA 98433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 08/02/2019 |