MR. Ryan Botham, CCP

NPI #1356171292 in Seattle, Washington

Provider Information

NPI Number: 1356171292
Entity Type: Individual
Name: MR. Ryan Botham, CCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Perfusionist
Credential: CCP
Enumeration Date: Aug 6, 2024
Last Updated: Aug 6, 2024

Practice Location

Address: 1100 9TH AVE
City: Seattle
State: Washington
ZIP Code: 98101-2756
Phone: (360) 782-7108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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