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
Mailing address812 39th Ave Sw, Suite D, Puyallup, WA 98373-5915

Other providers in Puyallup