Provider Demographics
NPI:1568712560
Name:TORRES, RICHARD JR (PA-C)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:TORRES
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 9TH AVE # H8-25
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-314-0860
Mailing Address - Fax:206-341-1401
Practice Address - Street 1:1100 9TH AVE # H8-25
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101
Practice Address - Country:US
Practice Address - Phone:206-314-0860
Practice Address - Fax:206-341-1401
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2023-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPA60702357363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant