Provider Demographics
NPI:1154632255
Name:BETHEL, ISABEL (RDMS)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:BETHEL
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23117 52ND AVE S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-3394
Mailing Address - Country:US
Mailing Address - Phone:404-574-8541
Mailing Address - Fax:
Practice Address - Street 1:23117 52ND AVE S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-3394
Practice Address - Country:US
Practice Address - Phone:404-574-8541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography