Provider Demographics
NPI:1285709097
Name:RAMSETH, JAMES RAYMOND (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:RAYMOND
Last Name:RAMSETH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17307 SE 272ND ST
Mailing Address - Street 2:124
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-5306
Mailing Address - Country:US
Mailing Address - Phone:253-631-1200
Mailing Address - Fax:253-631-7147
Practice Address - Street 1:17307 SE 272ND ST
Practice Address - Street 2:124
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-5306
Practice Address - Country:US
Practice Address - Phone:253-631-1200
Practice Address - Fax:253-631-7147
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00007452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA13021OtherLABOR AND INDUSTRIES
WA6050702Medicaid
WA6121008Medicaid
WA13071OtherLABOR & INDUSTRIES
WA9045626Medicaid
WAG8800375OtherNORIDIAN
WA9026618Medicaid
WA9045626Medicaid
WA6121008Medicaid