Individual
DR. DIANE E ENGELBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00031424
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00031424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0870618
AETNA
—
05
—
1006476
—
WA
01
—
109082
L&I
WA
01
—
300064814
RAILROAD MEDICARE
—
01
—
349474
L&I-RADIA KING COUNTY
WA
01
—
349476
L&I-SWEDISH RADIA
WA
01
—
349478
L&I-RADIA REST OF WA
WA
01
—
349480
L&I-EVERGREEN RADIA
WA
05
—
8150294
—
WA
01
—
8919495
CRIME VICTIMS
WA
01
—
EN3948
REGENCE
WA
Enumeration date
02/15/2006
Last updated
03/20/2017
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