Individual
DR. THEODORE KOICHI INOUYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34509 9TH AVE S, STE 208, FEDERAL WAY, WA 98003-8709
(253) 944-3278
(253) 944-4345
Mailing address
34509 9TH AVE S, STE 208, FEDERAL WAY, WA 98003-8709
(253) 944-3278
(253) 944-4345
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00022785
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0246067
STATE L&I
WA
01
—
0246081
L & I
WA
05
—
1005073
—
WA
05
—
8536526
—
WA
05
—
8536534
—
WA
01
—
8950424
CRIME VICTIMS
WA
01
—
G8879361
MEDICARE
WA
01
—
G8879362
MEDICARE
WA
Enumeration date
03/10/2006
Last updated
11/11/2010
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