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Marion Fossum, MD
NPI 1356875736 · on the registry since 2017
Practice
- Address
- 1717 S Ritchey Rd
Medical Lake, WA 99022 - Phone
- (509) 590-8766
Additional practice sites
- 19300 Sw 65th Ave, Tualatin, OR
- 1102 W 32nd St, Joplin, MO
- 90 Presidential Plz # 4, Syracuse, NY
- 6000 Hospital Dr, Hannibal, MO
- 1701 S Creasy Ln, Lafayette, IN
- 2041 Georgia Ave Nw # 5b05, Washington, DC
- 200 Hawthorne Ln, Charlotte, NC
Registry record
- Primary taxonomy
- Neurology Physician
2084N0400X
- Also registered as
- Neurology Physician
Neurology Physician
Neurology Physician
Neurology Physician
Neurology Physician
Clinical Neurophysiology Physician
Neurology Physician
Neurology Physician
Neurology Physician
Epilepsy Physician
Neurology Physician
Neurology Physician
Neurology Physician - Licence states on file
- MS, WI, MO, WA, NC, NV, FL, VA, NJ, IL, OR, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington