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Organization
SJS, PLLC
Active
Organization
SJS, PLLC
Active
Other names
PACIFIC URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEJUNG SHIN MD (PRESIDENT)
(503) 502-6097
Entity
Organization
Contact information
Practice address
900 OCEAN BEACH HWY STE B, LONGVIEW, WA 98632-4013
(360) 646-8860
(360) 646-8865
Mailing address
29640 MARINE VIEW DR SW, FEDERAL WAY, WA 98023-3400
(360) 646-8860
(360) 646-8865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00038373WA
WA
363AM0700X
Medical Physician Assistant
PA10003271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024277
—
OR
05
—
2065309
—
WA
01
—
367725
L&I
WA
Enumeration date
02/21/2018
Last updated
02/21/2018
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