Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD00029165 | WA |
NPI | 1134189699 |
---|---|
Provider Name | Joseph J Austin |
First Address | Portland, OR 97208-3360 |
Second Address | Everett, WA 98201-1684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 19/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0129145 | L & I WORKERS COMP (01) | WA |
060058635 | RAILROAD MEDICARE (01) | WA |
1072586 | (05) | WA |
AU4663 | REGENCE BLUESHIELD RIDER (01) | WA |
F16955 | (02) | WA |