Provider Demographics
NPI:1932465051
Name:NG, TIMOTHY WEN-ZEN (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:WEN-ZEN
Last Name:NG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:19020 33RD AVE W
Mailing Address - Street 2:STE 210
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4748
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:2211 NE 139TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2742
Practice Address - Country:US
Practice Address - Phone:360-566-4840
Practice Address - Fax:360-566-4842
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2021-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXR35632085R0202X
GA58962085R0202X
WAMD611569172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0438346OtherL & I - RADIA
WA0438364OtherL & I - SEATTLE RADIOLOGY
WA0438356OtherL & I - EVERGREEN RADIA
WA2179012Medicaid
WA0438348OtherL & I - RADIA
WA0438350OtherL & I - SWEDISH RADIA
WA0438365OtherL & I - VANCOUVER RADIOLOGISTS
WA0438368OtherL & I - SOUTH SOUND RADIOLOGY