Provider Demographics
NPI:1891838256
Name:STARLING, NATHAN W (LMP)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:W
Last Name:STARLING
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:NATE
Other - Middle Name:
Other - Last Name:STARLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:PO BOX 20722
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-1722
Mailing Address - Country:US
Mailing Address - Phone:206-675-1740
Mailing Address - Fax:206-675-1043
Practice Address - Street 1:4033 STONE WAY N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8011
Practice Address - Country:US
Practice Address - Phone:206-675-1740
Practice Address - Fax:206-675-1043
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00011386225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist