Individual
DR. KATHRYN LOUISE EVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2012-00687
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD60314312
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8918994
PTAN-MEDICAL IMAGING ON 1ST
WA
01
—
G8918995
PTAN-UAOM
WA
01
—
G8918996
PTAN-CAROL MILGARD BREAST CENTER
WA
01
—
G8918997
PTAN-TACOMA RADIOLOGICAL ASSOCIATES, PIERCE CO
WA
01
—
G8918998
PTAN-TACOMA RADIOLOGICAL ASSOCIATES, KING CO
WA
01
—
P01251104
RR MEDICARE-CMBC
WA
01
—
P01251119
RR MEDICARE-TRA
WA
Enumeration date
04/17/2008
Last updated
05/30/2017
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