Organization
HARBOR RADIOLOGISTS, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILNA J WHEELER (ADMINISTRATOR)
(360) 533-0400
Entity
Organization
Contact information
Practice address
1108 BASICH BLVD, ABERDEEN, WA 98520-1066
(360) 533-0400
(360) 533-5633
Mailing address
1108 BASICH BLVD, ABERDEEN, WA 98520-1066
(360) 533-0400
(360) 533-5633
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7844707
—
WA
Enumeration date
03/14/2007
Last updated
08/22/2020
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