Provider Demographics
NPI:1518076280
Name:SEILER, DOUGLAS PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:PAUL
Last Name:SEILER
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:PO BOX 1535
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401-1535
Mailing Address - Country:US
Mailing Address - Phone:253-761-4200
Mailing Address - Fax:253-383-3553
Practice Address - Street 1:1304 FAWCETT AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-1911
Practice Address - Country:US
Practice Address - Phone:253-761-4200
Practice Address - Fax:253-383-3553
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000454872085R0202X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8873640OtherPTAN-UAOM
WA0236440OtherLABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
WA0237320OtherLABOR AND INDUSTRIES-TRA
WA8947595OtherLABOR AND INDUSTRIES CRIME VICTIMS-TRA
WA8947594OtherLABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI
WAG8873640OtherPTAN-UAOM
WA8512865Medicare PIN
WAG8881465Medicare PIN
WA0236440OtherLABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
WAG8886633Medicare PIN
WA8951821Medicare PIN
WAP00876454Medicare PIN
WA249527Medicare PIN
WA0272025Medicare PIN
WAG8873598Medicare PIN
WA0237320OtherLABOR AND INDUSTRIES-TRA