Provider Demographics
NPI:1629062542
Name:SOLTI, MAGDOLNA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGDOLNA
Middle Name:
Last Name:SOLTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAGDOLNA
Other - Middle Name:
Other - Last Name:BARNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:210 SE 136TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6930
Mailing Address - Country:US
Mailing Address - Phone:360-944-9889
Mailing Address - Fax:360-944-9686
Practice Address - Street 1:210 SE 136TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6930
Practice Address - Country:US
Practice Address - Phone:360-944-9889
Practice Address - Fax:360-944-9686
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043359207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1014908Medicaid
OR023253Medicaid
ORR132593Medicare PIN
WAI08334Medicare UPIN
WAG8854250Medicare PIN