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Active NPI 1679763247 Individual Practitioner Male Practitioner

Nathan E Davidson , LCPO

Specialist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Nathan Davidson, LCPO is a registered healthcare professional specializing in Specialist in Puyallup, WA. Practice services are available at 812 39TH AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

812 39th Ave Sw
Suite D

Puyallup, WA 983735915

Telephone 2537706578
Fax 2538811397
Associated Practice Facility / Clinic
🏢 Davidson Prosthetics Llc Facility NPI 1033360409

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
49 Specialists

Practicing in Puyallup, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA PS 60145968

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License WA OI00000477

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1639218829

Certified Prosthetist Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2012

Registered at 812 39TH AVE SW, SUITE D, PUYALLUP, WA 983735915 (Tel: 2537706578)

📍
Updated Business Mailing Address May 10, 2012

Registered at 812 39TH AVE SW, SUITE D, PUYALLUP, WA 983735915 (Tel: 2537706578)

👤
Provider Name / Credentials Updated May 10, 2012

Recorded as NATHAN DAVIDSON, LCPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2012

Specialist (License #PS 60145968 in WA)

🟢
Initial NPI Registration & Enumeration July 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679763247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2007
Last Update: May 10, 2012
Sole Proprietor: No

Mailing Address

812 39th Ave Sw, Suite D

Puyallup, WA 983735915

Phone: 2537706578

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.