SearchWashington106S00000X

Elijah Prater

NPI 1992594394 · on the registry since 2025

Practice

Address
25530 74th Ave S
Kent, WA 98032
Phone
(206) 793-6060
Clinicians at this address
3

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-02

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