Individual
DR. SCOTT MICHAEL VANDERHEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
2085R0202X
Diagnostic Radiology Physician
M-12320
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00043431
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750369211
—
ID
01
—
184154
L&I PROVIDER NUMBER
WA
01
—
184155
L&I PROVIDER NUMBER
WA
01
—
184156
L&I PROVIDER NUMBER
WA
05
—
20004619
—
ID
01
—
204123
L & I PROVIDER NUMBER
WA
05
—
8390452
—
WA
Enumeration date
01/05/2006
Last updated
01/16/2019
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