Individual
DR. MILTON LOWELL VAN HISE
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
2085N0700X
Neuroradiology Physician
M-12379
ID
2085N0700X
Neuroradiology Physician
MD00038495
WA
2085N0700X
Neuroradiology Physician
MEDS8010
AK
2085R0202X
Diagnostic Radiology Physician
M-12379
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00038495
WA
2085R0202X
Diagnostic Radiology Physician
MEDS8010
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017174
—
AK
01
—
135577
L&I PROVIDER NUMBER
WA
01
—
135652
L&I PROVIDER NUMBER
WA
01
—
154345
L&I PROVIDER NUMBER
WA
01
—
175556
L&I PROVIDER NUMBER
WA
05
—
1841278306
—
ID
01
—
204122
L & I PROVIDER NUMBER
WA
05
—
8255234
—
WA
Enumeration date
01/05/2006
Last updated
11/07/2019
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