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Contact Information

TIMOTHY P GLEASON, MD
1145 BROADWAY
SEATTLE, WA98122-4201
 Phone: 206-719-6069
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for TIMOTHY P GLEASON · (Male)

NPI # 1376570432
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 01/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00032138
  • WA Medicaid 1008913
  • WA Other 0368770 L&I-EVERGREEN RADIA
  • WA Other 0368768 L&I-RADIA KING CTY
  • WA Other 0368767 L&I-RADIA REST OF WA
  • WA Other 0405705 L&I-SEATTLE RADIOLOGY
  • WA Other 0368769 L&I-SWEDISH RADIA EDMONDS
Hospital affiliation(s)
  • JEFFERSON HEALTHCARE HOSPITAL - (Critical Access)
    834 SHERIDAN STREET
    PORT TOWNSEND, WA 98368
  • 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 ISSAQUAH - (Acute Care)
    751 NE BLAKELY DR
    ISSAQUAH, WA 98029
  • 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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