Individual provider · Type 1 NPI
Marion Arthur Fossum, MD
Neurology Physician · Medical Lake, WA
NPI number
1356875736
Active
Practice location
1717 S Ritchey Rd
Medical Lake, WA 99022-8792
Other practice locations
- 19300 SW 65th Ave, Tualatin, OR 97062-7706 · (503) 692-1212
- 1701 S Creasy Ln, Lafayette, IN 47905-4972 · (765) 502-4400
- 1102 W 32nd St, Joplin, MO 64804-3503 · (417) 347-4570
- 90 Presidential Plz # 4, Syracuse, NY 13202-2240 · (315) 464-4243
- 200 Hawthorne Ln, Charlotte, NC 28204-2515 · (704) 384-9437
- 6000 Hospital Dr, Hannibal, MO 63401-6887 · (573) 629-3342
- 2041 Georgia Ave NW # 5B05, Washington, DC 20060 · (202) 865-6611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician | 2084N0400X | 33801 (MS) |
| Neurology Physician | 2084N0400X | 83574-20 (WI) |
| Neurology Physician Primary | 2084N0400X | 2024012104 (MO) |
| Neurology Physician | 2084N0400X | 61254901 (WA) |
| Neurology Physician | 2084N0400X | 2024-00610 (NC) |
| Neurology Physician | 2084N0400X | 26243 (NV) |
| Clinical Neurophysiology Physician | 2084N0600X | 61254901 (WA) |
| Neurology Physician | 2084N0400X | ME167370 (FL) |
| Neurology Physician | 2084N0400X | 0101281448 (VA) |
| Neurology Physician | 2084N0400X | 25MA12260400 (NJ) |
| Epilepsy Physician | 2084E0001X | 61254901 (WA) |
| Neurology Physician | 2084N0400X | 036.169354 (IL) |
| Neurology Physician | 2084N0400X | MD220784 (OR) |
| Neurology Physician | 2084N0400X | 01092935A (IN) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
About NPI 1356875736
Marion Arthur Fossum, MD's National Provider Identifier is 1356875736, issued on Apr 12, 2017. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Medical Lake, WA. The record was last updated on Oct 16, 2025.