Richard C. Wahlgren
Physical Therapist - Orthopedic
122 3rd St Ne
Auburn
, Washington 98002-4013
Richard C. Wahlgren
Physical Therapist - Orthopedic
122 3rd St Ne
Auburn
, Washington 98002-4013
(253) 887-9804
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Richard C. Wahlgren
- 122 3rd St Ne
- Auburn, WA
- Zip : 98002-4013
- Fax : (253) 887-9804
- Phone : (253) 833-7750
Second Address
- Richard C. Wahlgren
- 122 3rd St Ne
- Auburn, WA
- Zip : 98002-4013
- Fax : (253) 887-9804
- Phone : (253) 833-7750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT00007229 | WA |
National Provider Identifier
| NPI | 1043298086 |
|---|---|
| Provider Name | Richard C. Wahlgren |
| First Address | Auburn, WA 98002-4013 |
| Second Address | Auburn, WA 98002-4013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2006 |
| Last Update Date | 19/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 135296 | LABOR & INDUSTRIES (01) | WA |
| 5338WA | REGENCE (01) | WA |
| GAB15557 | MEDICARE LEGACY (01) | WA |
| P07026 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.