Individual provider Active NPI

Erik S Forsell

  • Radiologic Technologist
  • Lynnwood, WA
National Provider Identifier
1427389477
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
RT60101850 Issued in WA
Practice address
6925 216TH St SW Ste P
Lynnwood, WA 98036-7358
Phone
(800) 248-9729
Fax
(503) 786-9729
NPI assigned
Jan 14, 2010
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X RT60101850 WA Primary

Addresses

Primary practice location

6925 216TH St SW Ste P
Lynnwood, WA 98036-7358

Mailing address

PO Box 66500
Portland, OR 97290-6500
Phone (503) 657-8663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT60101850WAMDRadiologic Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1427389477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972906500",
            "telephone_number": "503-657-8663",
            "fax_number": "503-723-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 216TH ST SW STE P",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367358",
            "telephone_number": "800-248-9729",
            "fax_number": "503-786-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSELL",
        "first_name": "ERIK",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "RT60101850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.