Individual
DR. SUSAN ORDONIO TIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4005 HOYT AVE, EVERETT, WA 98201-4920
(425) 339-5468
(425) 259-1172
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5468
(425) 259-1172
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60253710
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60253710
LICENSE
WA
Enumeration date
06/20/2008
Last updated
03/15/2013
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