Individual
CHAD R SUMULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3400 CALIFORNIA AVE SW, SEATTLE, WA 98116-3307
(206) 933-1041
(206) 933-1047
Mailing address
3400 CALIFORNIA AVE SW, SEATTLE, WA 98116-3307
(206) 933-1041
(206) 933-1047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61167160
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183439
—
WA
Enumeration date
04/05/2021
Last updated
07/08/2025
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