Individual
MICHELLE HUI PENGSHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 NE 87TH AVE STE 460, VANCOUVER, WA 98664-1965
(360) 514-2470
(360) 514-7624
Mailing address
1959 NE PACIFIC STREET BOX 356521, SEATTLE, WA 98195-0001
(206) 543-3792
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD61156700
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
05/26/2023
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