Individual
ANDREW RAMON QUISUMBING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
(425) 656-4214
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP60846042
WA
208M00000X
Hospitalist Physician
Primary
OP60846042
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046976
—
WA
01
—
G8988349
MEDICARE
WA
Enumeration date
05/18/2015
Last updated
12/03/2019
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