Robertson, Mandy Deann
Robertson, Mandy Deann is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Robertson, Mandy Deann can be contacted via phone (360) 923-7000.Contact Information
Primary practice address
700 Lilly Rd Ne
Olympia WA 98506-5115
Phone: (360) 923-7000
Fax: (360) 923-7089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD00040630 | Washington |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | C143490 | California |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD00040630 | Washington |
Profile Details
| NPI number | 1790730174 |
|---|---|
| LBN Legal business name | Robertson, Mandy Deann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jan 2nd, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790730174 | NPPES |
| Washington | MEDICAID | 1790730174 | |
| Washington | Other | 0228485 | |
| Washington | MEDICAID | 1790730174 | |
| Washington | Other | 315360 | |
| Washington | Other | P01257375 |
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