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Contact Information

NANCY J NEUBAUER, MD
1321 COLBY AVE
PROVIDENCE EVERETT MEDICAL CENTER
EVERETT, WA98206
 Phone: 425-261-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for NANCY J NEUBAUER · (Female)

NPI Number 1215915723
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2006
Last updated 06/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00038613
  • WA Medicaid 8210130
  • WA Other 135540 L&I PROVIDER NUMBER
  • WA Other 135541 L&I PROVIDER NUMBER
  • WA Other 174096 L&I PROVIDER NUMBER
Hospital affiliation(s)
  • PROVIDENCE REGIONAL MEDICAL CENTER EVERETT - (Acute Care)
    1321 COLBY AVENUE
    EVERETT, WA 98201
  • SWEDISH EDMONDS HOSPITAL - (Acute Care)
    21601 76TH AVENUE WEST
    EDMONDS, WA 98026
  • SWEDISH MEDICAL CENTER - (Acute Care)
    747 BROADWAY
    SEATTLE, WA 98122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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