IndividualActive
Michael Beasley
NPI 1972747178 · Radiologic Technologist · Lynnwood, WA
Provider details
- NPI number
- 1972747178
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RT00007108 (WA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
6925 216th St Sw Ste P
Lynnwood, WA 98036-7358
Phone: (503) 657-8663
Fax: (503) 723-3180
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 66500
Portland, OR 97290-6500
Registry dates
- Enumerated
- 2009-05-01
- Last updated
- 2009-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.