Organization
TIROG AT VALLEY PLLC
Active
Other names
Seattle Proistate Brachytherapy PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BARNETT MD (MANAGING PARTNER)
(206) 386-2323
Entity
Organization
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5121
(425) 656-4072
Mailing address
1221 MADISON STREET, FIRST FLOOR, SEATTLE, WA 98104-3589
(206) 215-6251
(206) 215-6345
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7090822
—
WA
01
—
I3540
RR MEDICARE
—
Enumeration date
07/26/2006
Last updated
11/04/2019
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