Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD60939948 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD60939948 | WA |
NPI | 1376988477 |
---|---|
Provider Name | Dr. Ryan James Nathe |
First Address | Issaquah, WA 98029-5436 |
Second Address | Issaquah, WA 98029-5436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 10/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2140970 | (05) | WA |
443540 | WA LABOR & INDUSTRIES (01) | WA |