Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nathan E Davidson, LCPO

Individual provider Specialist · NPI 1679763247

Mr. Nathan E Davidson, LCPO is a Specialist in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

812 39th Ave SW Ste D
Puyallup, WA 98373-5915
Phone: (253) 770-6578
Fax: (253) 881-1397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PS 60145968 (WA)
Specialist Taxonomy 174400000X · Licence OI00000477 (WA)

Record details

NPI number1679763247
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPO
Sole proprietorNo
NPI enumeratedJuly 30, 2007
Last updated in NPPESMay 10, 2012

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