Healthcare Provider Details

I. General information

NPI: 1780903773
Provider Name (Legal Business Name): HANNU TAPIO HUHDANPAA M.D., M.SC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2010
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19020 33RD AVE W SUITE 210
LYNNWOOD WA
98036-4746
US

IV. Provider business mailing address

19020 33RD AVE W SUITE 210
LYNNWOOD WA
98036-4746
US

V. Phone/Fax

Practice location:
  • Phone: 425-563-1500
  • Fax: 425-563-1374
Mailing address:
  • Phone: 425-563-1500
  • Fax: 425-563-1374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301501561
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberMD60610582
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD60610582
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: