Organization
TRA-MINW, PS
Active
Organization
TRA-MINW, PS
Active
Other names
Tacoma Radiological Associates, P.S.
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA EPSHTEYN (DIRECTOR OF FINANCE)
(253) 761-4200
Entity
Organization
Contact information
Practice address
1601 SE COURT AVE, DEPARTMENT OF RADIOLOGY, PENDLETON, OR 97801-3217
(253) 761-4200
(253) 383-0730
Mailing address
PO BOX 3656, SEATTLE, WA 98124-3656
(866) 231-9211
(800) 508-4751
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500663945
—
OR
Enumeration date
02/14/2013
Last updated
12/23/2022
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