Michael Connor, MD
in Lacey, WA. Individual provider (NPI-1).
NPI number1285165142
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1285165142
- Entity type
- Individual (NPI-1)
- Name
- Michael Connor
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2017
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - RADIATION ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | MD61319209 | WA | Yes |
Practice location
4525 3rd Ave Se # 100Lacey, WA 98503-1010
Phone 360-412-8960
Mailing address
4525 3rd Ave Se # 100Olympia, WA 98503-1010
Is something wrong?
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