Individual
CYNTHIA S HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24138
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117654
—
WA
05
—
286306
—
OR
05
—
806564700
—
ID
01
—
R174172
PTAN-PENDLETON, OREGON
OR
Enumeration date
07/13/2006
Last updated
05/27/2014
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