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Blaine Menon
NPI 1508328113 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1304 Fawcett Ave Ste 100
Tacoma, WA 98402 - Phone
- (253) 761-4200
- Organisation at this address
- Mobilemammo Nw
Medical Imaging Northwest - Good Samaritan Hospital Imaging AllianceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Additional practice sites
- Msc Medicine 1 University Of New Mexico, Albuquerque, NM
- Uw Office Of Gme 1959 Ne Pacific St, Seattle, WA
Registry record
- Primary taxonomy
- 2085R0204X
2085R0204X
- Also registered as
- 390200000X
- Licence states on file
- NM, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-03
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