Organization
SEATTLE NEPHROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG H JOH MD (MEMBER)
(206) 542-1000
Entity
Organization
Contact information
Practice address
1130 N 185TH ST STE 201, SHORELINE, WA 98133-4011
(206) 542-1000
(206) 542-5353
Mailing address
1130 N 185TH ST STE 201, SHORELINE, WA 98133-4011
(206) 542-1000
(206) 542-5353
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202SE
REGENCE BLUE SHIELD
WA
05
—
7111693
—
WA
01
—
CJ4503
RAILROAD MEDICARE
WA
Enumeration date
05/21/2007
Last updated
07/09/2024
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