Individual
BERIT L MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19917 7TH AVE NE, POULSBO, WA 98370-7403
(360) 697-8000
Mailing address
P.O. BOX 60000, FILE 31163, SAN FRANCISCO, CA 94160
(360) 697-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MD-21280
HI
2085R0001X
Radiation Oncology Physician
Primary
MD00030690
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039587
LABOR AND INDUSTRIES
WA
01
—
805180300
IDAHO MEDICAID
ID
05
—
8152159
—
WA
01
—
920001720
RAILROAD MEDICARE
WA
01
—
MA8437
BLUE SHIELD NUMBER
WA
01
—
MD036WA
ALASKA MEDICAID
AK
01
—
US0862051
AETNA SPECIALIST PIN
WA
Enumeration date
10/04/2006
Last updated
04/30/2025
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