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Blaine Menon — NPI 1508328113, Tacoma, WA | NPI Central

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NPI 1508328113

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Blaine Menon

NPI 1508328113 · Vascular & Interventional Radiology Physician · Tacoma, WA

Provider details

NPI number: 1508328113
Entity type: Individual
Primary specialty: Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Vascular & Interventional Radiology PhysicianPrimary2085R0204XLicense MD61631944 (WA)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

1304 Fawcett Ave Ste 100

Tacoma, WA 98402-1900

Phone: (253) 761-4200

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

Uw Office of Gme 1959 Ne Pacific St

Seattle, WA 98195-0001

Additional practice locations (2)

Msc Medicine 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-4661
Uw Office of Gme 1959 Ne Pacific St
Seattle, WA 98195-0001
Phone: (206) 543-2100

Registry dates

Enumerated: 2019-04-02
Last updated: 2025-07-03
Certified: 2025-07-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.