Individual
MYONG J ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33507 9TH AVE S STE A, FEDERAL WAY, WA 98003-6397
(253) 874-5404
(253) 874-8964
Mailing address
33507 9TH AVE S STE A, FEDERAL WAY, WA 98003-6397
(253) 874-5404
(253) 874-8964
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00015716
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175168
STATE L&I
WA
01
—
500025320
MEDICARE RAILROAD
WA
05
—
8370850
—
WA
01
—
8933886
STATE CRIME VICTIMS
WA
Enumeration date
08/05/2006
Last updated
02/06/2020
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