Individual
CHHIVLY NGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 13TH ST, EVERETT, WA 98201-1689
(425) 922-2623
Mailing address
19701 143RD PL SE, RENTON, WA 98058-9438
(425) 922-2623
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN60374926
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61596060
WA
Other
Enumeration date
06/28/2021
Last updated
08/19/2024
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