Individual
DR. BRENT ALLAN TINNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3920 CAPITAL MALL DR SW STE 100B, OLYMPIA, WA 98502-8186
(360) 706-6370
(360) 706-6464
Mailing address
4230 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4335
(253) 627-6325
(253) 627-8792
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101239741
VA
2085R0001X
Radiation Oncology Physician
Primary
MD60194923
WA
Other
Enumeration date
07/31/2006
Last updated
02/03/2022
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