Individual
PIRAHATAI CHAMNONGVONGSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33431 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 874-7634
(253) 874-7635
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61076541
WA
Other
Enumeration date
09/24/2012
Last updated
12/26/2024
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