MEDICARE: MULTICARE HEALTH SYSTEM

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

General Provider Information

NPI Number	:	1679042188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTICARE HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	PO BOX 5299
Second Line	:	MS: 820-5-PCO
City	:	TACOMA
State	:	WA
Zip	:	98415-0299
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9420 N NEWPORT HWY STE 103
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1391
Country	:	US
Telephone Number	:	253-403-1000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM GLENN ROBERTSON
Credential	:
Telephone Number	:	253-403-1272

Provider Enumeration Date	:	11/14/2018
Last Update Date	:	04/14/2026

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Directions to “MULTICARE HEALTH SYSTEM ” Practice Location

Language	Start Address	Practice Location

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