Individual
ROBERTA W. DALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, U OF WASHINGTON MEDICAL CTR, RADIOLOGY, ROOM RR-215, BOX 357115, SEATTLE, WA 98195-0001
(206) 543-3320
(206) 543-6317
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00024664
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230938
L&I
WA
05
—
1306932165
—
WA
Enumeration date
10/05/2006
Last updated
11/30/2011
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