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Dr. Charles Raymond Leusner, MD
Vascular & Interventional Radiology Physician in Tacoma, Washington
NPI 1255403176

Charles Raymond Leusner is a Vascular & Interventional Radiology Physician based in Tacoma, WA and is specialized in Vascular & Interventional Radiology. Charles Raymond Leusner practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Charles Raymond Leusner is 1255403176 and holds a License No. MD162032 (Washington).

The current practice location address for Charles Raymond Leusner is 1304 Fawcett Ave Ste 100, Tacoma, WA and can be reached out via phone at 253-761-4200 and via fax at 253-761-4201.

Location: 1304 Fawcett Ave Ste 100, Tacoma, WA, 98401-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255403176
Provider Name
Charles Raymond Leusner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1304 Fawcett Ave Ste 100, Tacoma, WA, 98401-1535
Phone Number
253-761-4200
Fax Number
253-761-4201
Provider Enumeration Date
11/15/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8945559 01 WA LABOR AND INDUSTRIES CRIME VICTIMS-TRA
0225749 01 WA LABOR AND INDUSTRIES-TRA
0225750 01 WA LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
1091253 05 WA
500666603 05 OR
8945560 01 WA LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI
institution
Provider Business Practice Location Address Details
Address
1304 Fawcett Ave Ste 100
City
Tacoma
State
Washington
Zip
98402-1900
Phone Number
253-761-4200
Fax Number
253-761-4201
person
Provider Business Mailing Address Details
Address
1304 Fawcett Ave Ste 100
City
Tacoma
State
Washington
Zip
98402-1900
Phone Number
253-761-4200
Fax Number
253-761-4201
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD00048416 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MD162032 (Oregon)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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