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Individual

DR. DARA OMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1800
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD60854439
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD60854439
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0394145
LNI-RADIA REST OF WA
WA
01
0394150
LNI-RADIA KING COUNTY
WA
01
0394151
LNI-SWEDISH RADIA EDMONDS
WA
01
0394153
LNI-EVERGREEN RADIA
WA
05
2103784
WA
Enumeration date
06/13/2012
Last updated
09/11/2018
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