Individual
POONAM RAUNIYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4112 HARBOUR POINTE BLVD SW, STE 100, MUKILTEO, WA 98275-5457
(425) 347-6330
(425) 347-6335
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00048601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00048601
STATE LICENSE
WA
Enumeration date
06/11/2008
Last updated
05/18/2021
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