Individual
MICHAEL Y WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 PACIFIC AVE, SUITE 501, EVERETT, WA 98201-4168
(425) 259-3108
(425) 258-7450
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00041253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8322240
—
WA
Enumeration date
08/13/2006
Last updated
04/29/2021
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