Individual
MICHELLE P.M NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
412 12TH AVE S, #205, SEATTLE, WA 98144-2032
(206) 329-5700
(206) 329-4894
Mailing address
412 12TH AVE S, #205, SEATTLE, WA 98144-2032
(206) 329-5700
(206) 329-4894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2089
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020337
—
WA
Enumeration date
06/04/2007
Last updated
07/08/2007
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