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Contact Information

CHARLES P DALY, MD
19020 33RD AVE W
SUITE 210
LYNNWOOD, WA98036-4746
 Phone: 425-563-1500
 Fax: 425-563-1501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CHARLES P DALY · (Male)

NPI Number 1790762946
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2005
Last updated 05/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00030288
  • WA Medicaid 8159824
  • WA Other 115847 L&I PROVIDER NUMBER
  • WA Other 155036 L&I PROVIDER NUMBER
Hospital affiliation(s)
  • EVERGREEN HOSPITAL MEDICAL CENTER - (Acute Care)
    12040 NE 128TH STREET
    KIRKLAND, WA 98034
  • PEACHEALTH ST JOHN MEDICAL CENTER - (Acute Care)
    1615 DELAWARE STREET
    LONGVIEW, WA 98632
  • 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
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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