NPI 1356171292

Ryan Botham, CCP

Practitioner Perfusionist Seattle, WA

Practice location

Address: 1100 9th Ave, Seattle, WA 98101-2756
Phone: (360) 782-7108
Mailing address: 15018 12th Dr SE, Mill Creek, WA 98012-1395

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X

Other Perfusionist providers in Washington →

Registry record

NPI: 1356171292
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2024
Record last updated: 6 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.