Menon, Blaine
Menon, Blaine is an sole proprietor health care provider with primary practice located at 1304 Fawcett Ave Ste 100 , Tacoma WA 98402-1900. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Menon, Blaine can be contacted via phone (253) 761-4200.Contact Information
Primary practice address
1304 Fawcett Ave Ste 100
Tacoma WA 98402-1900
Phone: (253) 761-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Mexico | |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD61631944 | Washington |
Profile Details
| NPI number | 1508328113 |
|---|---|
| LBN Legal business name | Menon, Blaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2019 |
| Last updated | Jul 3rd, 2025 - about last year |
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.
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