MEDICARE: MARK ALLEN LUNDQUIST 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	207P00000X	Emergency Medicine Physician	MT200993	PA
2	2083X0100X	Occupational Medicine Physician	60765772	WA

General Provider Information

NPI Number	:	1851683635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ALLEN LUNDQUIST MD

Provider Business Mailing Address
First Line	:	832 NW 63RD ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-2212
Country	:	US
Telephone Number	:	503-706-0572
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 ANDOVER PARK E STE 8
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98188-2938
Country	:	US
Telephone Number	:	206-575-3136
Fax Number	:	206-575-4892

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

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	10/20/2020

Similar Medicare Providers

1376543918 — MS. KRYSTYNA SOLTYSIAK ARNP
Practice Location Address:

200 ANDOVER PARK E STE 3
TUKWILA, WA
98188-2938

Practice Phone: 206-588-1722
Practice Fax: 206-242-2275

1932282118 — DR. PATRICIA GALLAHER BENCA DENTIST
Practice Location Address:

200 ANDOVER PARK E STE 4
TUKWILA, WA
98188-2938

Practice Phone: 206-575-1173
Practice Fax: 206-575-0759

1619040912 — ARLENE E. DORROUGH PA-C
Practice Location Address:

200 ANDOVER PARK E , SUITE 8
TUKWILA, WA
98188-2938

Practice Phone: 206-575-3136
Practice Fax: 206-575-7657

1730397746 — MELYNDA B ELBENNANE PTA
Practice Location Address:

200 ANDOVER PARK E , SUITE 6
TUKWILA, WA
98188-2938

Practice Phone: 206-575-3182
Practice Fax:

1841436417 — MR. BRADLEY GAIL JELLERICHS A.R.N.P.
Practice Location Address:

200 ANDOVER PARK E STE 8
TUKWILA, WA
98188-2938

Practice Phone: 206-575-3136
Practice Fax:

1831532936 — ADVANCE RADIATION CENTER OF SEATTLE, LLC
Practice Location Address:

200 ANDOVER PARK E , SUITE 3
TUKWILA, WA
98188-2938

Practice Phone: 206-922-6400
Practice Fax: 206-242-2275

Directions to “ MARK ALLEN LUNDQUIST MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.