Provider Demographics
NPI:1699980722
Name:ALTAMORE, RITA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:
Last Name:ALTAMORE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WASHINGTON STATE DEPARTMENT OF HEALTH
Mailing Address - Street 2:P.O. BOX 47811
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98504-7811
Mailing Address - Country:US
Mailing Address - Phone:360-236-4360
Mailing Address - Fax:369-236-2264
Practice Address - Street 1:101 ISRAEL RD SE
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-5570
Practice Address - Country:US
Practice Address - Phone:360-236-4360
Practice Address - Fax:369-236-2264
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016630174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist