Robertson, Paul Alexander

Robertson, Paul Alexander is an individual health care provider with primary practice located at 4525 3Rd Ave Se Ste 200, Lacey WA 98503-1010. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Robertson, Paul Alexander can be contacted via phone (360) 754-3934.

Contact Information

Primary practice address
4525 3Rd Ave Se Ste 200 Lacey WA 98503-1010
Phone: (360) 754-3934
Fax: (360) 943-8023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00026285 Washington
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD00026285 Washington

Profile Details

NPI number 1639175938
LBN Legal business name Robertson, Paul Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 22nd, 2021 - about 5 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639175938 NPPES
Washington MEDICAID 1150028

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