Individual
DR. JEANA SO RYONG OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00049007
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0235916
LABOR AND INDUSTRIES-TRA
WA
01
—
0235927
LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
WA
01
—
0243529
LABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER
WA
05
—
1089454
—
WA
01
—
7087158
DSHS-UAOM
WA
01
—
8947304
LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI
WA
01
—
8947305
LABOR AND INDUSTRIES CRIME VICTIMS-TRA
WA
01
—
8949629
LABOR AND INDUSTRIES CRIME VICTIMS-CAROL MILGARD BREAST CENTER
WA
01
—
8951847
LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
WA
Enumeration date
08/16/2006
Last updated
08/30/2024
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