Individual
DR. MARK DONALD MAYHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
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
M-12309
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00029725
WA
2085R0204X
Vascular & Interventional Radiology Physician
MD00029725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0377942
L&I PROVIDER NUMBER
WA
05
—
1245218171
—
ID
01
—
139237
L&I PROVIDER NUMBER
WA
01
—
139238
L&I PROVIDER NUMBER
WA
01
—
201567
L&I PROVIDER NUMBER
WA
05
—
8254898
—
WA
Enumeration date
12/30/2005
Last updated
12/30/2025
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