Individual
DR. DAVID GORDON OMDAL
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
MD00038823
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD00038823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0369841
L&I-RADA REST OF WA
WA
01
—
0369843
L&I-RADA KING CTY
WA
01
—
0369844
L&I-SWEDISH RADIA EDMONDS
WA
01
—
0369846
L&I-EVERGREEN RADIA
WA
05
—
1007604
—
WA
05
—
8313470
—
WA
Enumeration date
06/23/2006
Last updated
06/21/2019
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