Provider Demographics
NPI:1356501803
Name:BERRY, JAMES (RVT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BERRY
Suffix:
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 LANHAM PL SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2973
Mailing Address - Country:US
Mailing Address - Phone:206-931-6969
Mailing Address - Fax:
Practice Address - Street 1:6009 LANHAM PL SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-2973
Practice Address - Country:US
Practice Address - Phone:206-931-6969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography