Individual
DR. SAN SOPHIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ROCKEFELLER AVE, SUITE 520, EVERETT, WA 98201-1684
(425) 261-4905
(425) 261-4945
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD60206188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60206188
WSL
WA
Enumeration date
10/11/2007
Last updated
04/30/2021
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