# COASTAL SPECIALTY IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083990261
- **Authorized official:** CAREY MARTENS DO (DOCTOR)
- **Authorized official phone:** (360) 537-6450

## Contact information

- **Practice address:** 1006 N H ST, 5TH FLOOR, ABERDEEN, WA 98520-2521
- **Practice address phone:** (360) 537-6450
- **Practice address fax:** (360) 537-6451
- **Mailing address:** PO BOX 1898, ABERDEEN, WA 98520-0315
- **Mailing address phone:** (360) 533-1576
- **Mailing address fax:** (360) 637-8732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 11/01/2011