Organization
SKAGIT RADIOLOGY INC P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY CLINE MD (PARTNER)
(360) 424-6161
Entity
Organization
Contact information
Practice address
1415 E KINCAID, MOUNT VERNON, WA 98274-4196
(360) 424-6161
(360) 848-1167
Mailing address
PO BOX 2803, MOUNT VERNON, WA 98273-7803
(360) 428-7274
(360) 848-1167
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18555
L&I
WA
05
—
7599004
—
WA
Enumeration date
08/29/2006
Last updated
08/28/2024
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