Provider Demographics
NPI:1346394269
Name:MCLAUGHLIN, ROBERT PAUL (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:PAUL
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31833 GATEWAY CENTER BLVD S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5616
Mailing Address - Country:US
Mailing Address - Phone:253-214-1920
Mailing Address - Fax:253-214-1930
Practice Address - Street 1:31833 GATEWAY CENTER BLVD S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5616
Practice Address - Country:US
Practice Address - Phone:253-214-1920
Practice Address - Fax:253-214-1930
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00023936207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1036219Medicaid
WA000188801Medicare ID - Type Unspecified
WA1036219Medicaid