Male or Other

Raju A. Dahlstrom

Counselor in Everett, WA(View on Map)

Full Name

Raju A.T. Dahlstrom

NPI Number

1174095251

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/29/2018

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

CG60154362

Contact
Information

Purpose

Mailing
Location

Address

614 PETERSON RD
2802 BROADWAY

City

Burlington
Everett

State

WA
WA

Postal Code

98233-2606
98201-3642

Country

US
US

Telephone Number

(360) 856-3054
(425) 358-3191

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/14/2020

Provider Address

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