SearchWashington101YA0400X

Nickolas Root, CDP

NPI 1114581261 · on the registry since 2019 · sole proprietor

Practice

Address
135 W Main St
Chehalis, WA 98532
Phone
(360) 748-4339
Clinicians at this address
73

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington