Individual
PAWEENA THOOPHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(360) 825-6536
Mailing address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(360) 825-6536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A93951
CA
208000000X
Pediatrics Physician
Primary
MD00046037
WA
Other
Enumeration date
07/22/2006
Last updated
11/28/2017
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