Individual
DR. IAN DAVID TIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3417 ENSIGN RD NE, OLYMPIA, WA 98506-5064
(360) 493-4600
(360) 493-4603
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
MD00034830
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD00034830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112451
LNI-SOUTH SOUND IMAGING CENTER
WA
01
—
0384190
LNI-RADIA
WA
05
—
1044013
—
WA
05
—
8208027
—
WA
Enumeration date
11/07/2005
Last updated
12/28/2018
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