NPI 1457157133

Mark Anthony Fortes Baas, CDRTWACERT

Practitioner Radiography Radiologic Technologist Puyallup, WA

Practice location

Address: 1519 3rd St SE STE 102, Puyallup, WA 98372-3742
Phone: (253) 841-0705
Mailing address: 16302 66th Ave E, Puyallup, WA 98375-9025

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence RT61618487 (WA)

Other Radiologic Technologist providers in Washington →

Registry record

NPI: 1457157133
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2025
Record last updated: 22 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.