Individual
DR. GRETA TAN GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
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
2085P0229X
Pediatric Radiology Physician
M-12399
ID
2085P0229X
Pediatric Radiology Physician
Primary
MD00038515
WA
2085R0202X
Diagnostic Radiology Physician
M-12399
ID
2085R0202X
Diagnostic Radiology Physician
MD00038515
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135883
LNI PROVIDER ID
WA
01
—
139425
L&I PROVIDER NUMBER
WA
05
—
1578540480
—
ID
01
—
164154
L&I PROVIDER NUMBER
WA
01
—
204103
LNI PROVIDER ID
WA
01
—
213704
LNI PROVIDER ID
WA
05
—
8254997
—
WA
Enumeration date
12/30/2005
Last updated
07/29/2019
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