Individual
MARC WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3909 9TH AVE SW, OLYMPIA, WA 98502-5134
(360) 491-8439
Mailing address
9040A JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP134942
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61492972
WA
Other
Enumeration date
06/15/2017
Last updated
08/04/2026
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