Individual
EVANGELINE CUA GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12800 BOTHELL-EVERETT HWY, SUITE 190, EVERETT, WA 98208-6644
(425) 316-5160
(425) 225-1005
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00035936
WA
208000000X
Pediatrics Physician
MD00035936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8231037
—
WA
Enumeration date
09/25/2006
Last updated
05/19/2021
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