Individual
SANG YOON OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
Mailing address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 60082411
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2009
Last updated
02/18/2011
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