Individual
DR. DOUGLAS JOSEPH HARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD165183
OR
2085N0700X
Neuroradiology Physician
MD60341376
WA
2085R0202X
Diagnostic Radiology Physician
MD165183
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60341376
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0316863
L&I-TRA REST OF WA
WA
01
—
0316864
L&I-UNION AVE OPEN MRI
WA
05
—
2028592
—
WA
05
—
500670939
—
OR
Enumeration date
05/31/2007
Last updated
08/30/2024
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