SearchWashington103T00000X

Michael Retallick

NPI 1326577784 · on the registry since 2017 · sole proprietor

Practice

Address
1006 Sw Melrose Ln
Port Orchard, WA 98367
Phone
(360) 633-6782

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-26

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