Individual
MICHELLE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
901 BOREN AVE STE 1320, SEATTLE, WA 98104-3509
(206) 667-2300
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61146885
WA
Other
Enumeration date
06/28/2021
Last updated
11/01/2022
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