Individual
WORAWAN RATTANASAMPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 112TH AVE NE, SUITE A-101, BELLEVUE, WA 98004-3752
(425) 688-5234
(425) 688-5756
Mailing address
1750 112TH AVE, NE, SUITE A-101, BELLEVUE, WA 98008
(425) 688-5234
(425) 688-5756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00045055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073574471
NPI
WA
01
—
MD00045055
LICENSE
WA
Enumeration date
03/28/2006
Last updated
03/07/2023
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