Provider Demographics
NPI:1952412264
Name:GAMRATH, DAVID JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAMES
Last Name:GAMRATH
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Gender:M
Credentials:DO
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Mailing Address - Street 1:4122 FACTORIA BLVD SE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006
Mailing Address - Country:US
Mailing Address - Phone:425-865-8080
Mailing Address - Fax:425-865-0977
Practice Address - Street 1:4122 FACTORIA BLVD SE
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006
Practice Address - Country:US
Practice Address - Phone:425-865-8080
Practice Address - Fax:425-865-0977
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WAOP00001107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E32899Medicare UPIN
0106817Medicare UPIN