Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | CH00000826 | WA |
Y | 213ER0200X | Radiology | CH00000826 | WA |
NPI | 1588822217 |
---|---|
Provider Name | Dr. Susan L Vlasuk |
First Address | Bellevue, WA 98005-3400 |
Second Address | Bellevue, WA 98005-3400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 29/05/2008 |