Individual provider · Type 1 NPI

Michael John Beasley

Radiologic Technologist · Lynnwood, WA

NPI number 1972747178 Active

Practice location

6925 216th St SW Ste P
Lynnwood, WA 98036-7358

Fax (503) 723-3180

Mailing address

PO Box 66500
Portland, OR 97290-6500

Specialties and licenses

TaxonomyCodeLicense
Radiologic Technologist Primary 247100000XRT00007108 (WA)

Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

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About NPI 1972747178

Michael John Beasley's National Provider Identifier is 1972747178, issued on May 1, 2009. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Lynnwood, WA. The record was last updated on May 1, 2009.