Individual
ROBERT M DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SOUTH 43RD STREET, C/O VALLEY RADIATION ONCOLOGY, RENTON, WA 98055
(425) 251-5121
(425) 656-4072
Mailing address
PO BOX 749730, LOS ANGELES, CA 90074-9730
(206) 971-0034
(206) 215-4351
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00042601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8405714
—
WA
01
—
P00172506
RAIL ROAD MEDICARE
WA
Enumeration date
07/25/2006
Last updated
05/20/2022
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