Individual
HAO Q TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-4725
(206) 543-3605
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61426281
WA
Other
Enumeration date
03/24/2023
Last updated
05/24/2023
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