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Contact Information

ROBERT A BREZAK, MD
1304 FAWCETT AVE STE 100
TACOMA, WA98402-1900
 Phone: 253-761-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for ROBERT A BREZAK · (Male)

NPI # 1386818516
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2008
Last updated 08/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # MD205146
  • WA License # 60367833
  • WA License # MD60367833
  • WA Medicaid 1386818516
  • WA Medicaid 2029135
  • WA Other 340864 LNI PROVIDER ID
  • WA Other 340865 LNI PROVIDER ID
  • WA Other 340866 LNI PROVIDER ID
  • WA Other 340867 LNI PROVIDER ID
Hospital affiliation(s)
  • GOOD SAMARITAN REGIONAL MEDICAL CENTER - (Acute Care)
    3600 NW SAMARITAN DRIVE
    CORVALLIS, OR 97330
  • SAMARITAN ALBANY GENERAL HOSPITAL - (Acute Care)
    1046 6TH AVENUE SW
    ALBANY, OR 97321
  • SAMARITAN LEBANON COMMUNITY HOSPITAL - (Critical Access)
    525 N SANTIAM HIGHWAY
    LEBANON, OR 97355
  • SAMARITAN NORTH LINCOLN HOSPITAL - (Critical Access)
    3043 NE 28TH STREET
    LINCOLN CITY, OR 97367
  • SAMARITAN PACIFIC COMMUNITIES HOSPITAL - (Critical Access)
    930 SW ABBEY STREET
    NEWPORT, OR 97365
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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