Individual
AMOY A NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17191 BOTHELL WAY NE, SUITE 205, LAKE FOREST PARK, WA 98155-5534
(206) 364-8272
Mailing address
17191 BOTHELL WAY NE, STE 205, LAKE FOREST PARK, WA 98155-5534
(206) 364-8272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8225005
—
WA
01
—
P00009344
RAILROAD MEDICARE
WA
Enumeration date
06/22/2005
Last updated
11/06/2007
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