Search › Washington › 207Q00000X
Mark Tom
NPI 1144712639 · on the registry since 2018
Practice
- Address
- 3927 Rucker Ave
Everett, WA 98201 - Phone
- (425) 339-5422
- Fax
- (425) 339-5444
- Organisation at this address
- Optum Care Washington Pllc
Optum Care Washington PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 267
Additional practice sites
- 1919 Lincoln Way Ste 315, Coeur D Alene, ID
- 14402 E Sprague Ave, Spokane Valley, WA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
207Q00000X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington