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Search › Washington › Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Theodore Koutlas, MD

NPI 1902898331 · on the registry since 2005

Practice

Address
62 W 7th Ave Ste 110
Spokane, WA 99204
Phone
(509) 456-0262
Fax
(509) 462-5059
Organisation at this address
Providence Health & Services-Wa
Providence Health & Services Washington
Inferred from a shared address, not stated in the registry.
Clinicians at this address
82

Registry record

Primary taxonomy
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
208G00000X
Also registered as
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Licence states on file
ID, NC, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-16

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