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1639144728

NPI Code Detail

MEDICARE: DR. THOMAS OWEN MARKEL MD

MEDICARE: DR. THOMAS OWEN MARKEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	41697	TN
2	2085R0202X	Diagnostic Radiology Physician	MD60953088	WA
3	2085B0100X	Body Imaging Physician	MD60953088	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0440158	OTHER	WA	L & I - RADIA
2	0440156	OTHER	WA	L & I - RADIA
3	0440160	OTHER	WA	L & I - SWEDISH RADIA
4	0440169	OTHER	WA	L & I - SEATTLE RADIOLOGY
5	0440171	OTHER	WA	L & I - VANCOUVER RADIOLOGISTS
6	0440163	OTHER	WA	L & I - EVERGREEN RADIA
7	4137305	OTHER		BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	0440166	OTHER	WA	L & I - SOUTH SOUND RADIOLOGY
10	4138638	OTHER		BCBS

General Provider Information

NPI Number	:	1639144728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS OWEN MARKEL MD

Provider Business Mailing Address
First Line	:	19020 33RD AVE W
Second Line	:	STE 210
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-4748
Country	:	US
Telephone Number	:	425-563-1500
Fax Number	:	425-563-1374

Provider Business Practice Location Address
First Line	:	2211 NE 139TH ST
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98686-2742
Country	:	US
Telephone Number	:	360-566-4840
Fax Number	:	360-566-4842

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	10/04/2021

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Directions to “ DR. THOMAS OWEN MARKEL MD” Practice Location

Language	Start Address	Practice Location

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