Provider Demographics
NPI:1831262989
Name:DEUTSCH, DREW H (MD)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:H
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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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 STE 100
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-1900
Practice Address - Country:US
Practice Address - Phone:253-761-4200
Practice Address - Fax:253-383-3553
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000253952085R0202X
ORMD1623622085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA040724OtherLNI-TRA PIERCE COUNTY
OR500670581Medicaid
WA0395027OtherLNI-DIAGNOSTIC IMAGING NW
WA1020147Medicaid
WA0119263OtherLNI-UNION AVE OPEN MRI
WA0249567OtherLABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
WA8951833OtherLABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
WAG8881785OtherPTAN-MIO1
WAGAB36526OtherPTAN-TRA KING CO
WA8944814OtherLABOR AND INDUSTRIES CRIME VICTIMS-TRA
WACE9045Medicare PIN
WAOO1055600Medicare PIN
WAGAB01911OtherPTAN-UAOM
WAGAB36526OtherPTAN-TRA KING CO
WAAB37886Medicare PIN
WAGAB01910Medicare PIN
WAG8886633Medicare PIN
WA3391DEMedicare PIN
WAG001055618OtherPTAN-TRA PIERCE CO
WAGAB35572Medicare PIN