Individual
DR. TIMOTHY P. GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 719-6069
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MD00032138
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00032138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368767
L&I-RADIA REST OF WA
WA
01
—
0368768
L&I-RADIA KING CTY
WA
01
—
0368769
L&I-SWEDISH RADIA EDMONDS
WA
01
—
0368770
L&I-EVERGREEN RADIA
WA
01
—
0405705
L&I-SEATTLE RADIOLOGY
WA
05
—
1008913
—
WA
Enumeration date
06/26/2006
Last updated
01/17/2024
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