Individual
DR. NANCY JANE NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1321 COLBY AVE, PROVIDENCE EVERETT MEDICAL CENTER, EVERETT, WA 98206
(425) 261-2000
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
Primary
MD00038613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135540
L&I PROVIDER NUMBER
WA
01
—
135541
L&I PROVIDER NUMBER
WA
01
—
174096
L&I PROVIDER NUMBER
WA
05
—
8210130
—
WA
Enumeration date
01/04/2006
Last updated
06/23/2021
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