Organization
RAPHA CLINICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN Y JOO DPM (PHYSICIAN/OWNER)
(206) 542-1000
Entity
Organization
Contact information
Practice address
1130 N 185TH ST STE 202, SHORELINE, WA 98133-4011
(206) 542-1000
(206) 542-5353
Mailing address
1130 N 185TH ST STE 202, SHORELINE, WA 98133-4011
(206) 542-1000
(206) 542-5353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000700
WA
213EP1101X
Primary Podiatric Medicine Podiatrist
PO00000700
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO00000700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115773
—
WA
01
—
GAB36981
MEDICARE PTAN
—
01
—
GAB36982
MEDICARE PTAN
WA
01
—
GAB36983
MEDICARE PTAN
WA
01
—
GAB36984
MEDICARE PTAN
WA
Enumeration date
02/15/2011
Last updated
02/15/2011
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