NPI 1457857021 · live from the CMS NPI Registry
Andrew Woerner
Radiology, Diagnostic Radiology in Ketchikan, AK. National Provider Identifier 1457857021, active.
NPI record
| NPI | 1457857021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 3100 Tongass Ave, Ketchikan, AK 99901 |
| Practice phone | 907-228-7644 |
| Mailing address | 747 Broadway, Seattle, WA 98122 |
| Enumerated | April 3, 2018 |
| Last updated | June 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 219479 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.