Individual
LIO MALUCHI RYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1229 MADISON ST STE 1660, SEATTLE, WA 98104-3586
(206) 329-1760
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
(206) 720-8462
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60783018
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487001723
—
WA
Enumeration date
05/17/2016
Last updated
08/28/2025
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