Organization
OUT REACH MOBILE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M TREBILCOCK RDMS, RDCS (OWNER)
(253) 921-6613
Entity
Organization
Contact information
Practice address
11012 CANYON RD E, STE 8, PUYALLUP, WA 98373-4200
(253) 921-6613
(253) 435-1933
Mailing address
11012 CANYON RD E, STE 8, PUYALLUP, WA 98373-4200
(253) 921-6613
(253) 435-1933
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
19683
WA
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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