Individual
DR. NICHOLAS ZANE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD61039066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0424558
L&I-TRA-REST OF WA
WA
01
—
0424559
L&I-TRA-KING
WA
01
—
0424560
L&I-UNION AVENUE OPEN MRI
WA
01
—
0424561
L&I-DIAGNOSTIC IMAGING NW
WA
05
—
2157029
—
WA
Enumeration date
04/02/2014
Last updated
08/29/2024
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