Individual
EMILY ASSAVAPISITKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
(877) 516-9023
Mailing address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3768
(360) 895-5000
(877) 516-9023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61447732
WA
207Q00000X
Family Medicine Physician
T0416
TX
Other
Enumeration date
04/10/2018
Last updated
09/29/2023
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