Individual
CRYSTAL KONG-WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4919 25TH AVE NE, SUITE 300-W, SEATTLE, WA 98105-5668
(206) 525-7777
(206) 520-1699
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60105947
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281279
L&I
WA
05
—
1043402530
—
WA
Enumeration date
08/17/2007
Last updated
10/13/2011
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