Provider Demographics
NPI:1013193762
Name:FUJIOKA, KEITH ADRIAN (BS, RVT)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:ADRIAN
Last Name:FUJIOKA
Suffix:
Gender:M
Credentials:BS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11714 N CREEK PKWY N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-8250
Mailing Address - Country:US
Mailing Address - Phone:425-398-7777
Mailing Address - Fax:425-486-8976
Practice Address - Street 1:11714 N CREEK PKWY N
Practice Address - Street 2:SUITE 100
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-8250
Practice Address - Country:US
Practice Address - Phone:425-398-7777
Practice Address - Fax:425-486-8976
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist