Individual
COLIN T IOSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
Mailing address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
39851
TN
2084N0400X
Neurology Physician
M7291
TX
2084N0400X
Neurology Physician
Primary
MD60201685
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301450
STATE L&I
WA
05
—
2011519
—
WA
Enumeration date
03/08/2006
Last updated
02/28/2025
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