Individual
GABRIEL SHUNTOKU UESONODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5130 EVERGREEN WAY, EVERETT, WA 98203-2875
(425) 683-0800
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 854-0504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN70106164
WA
164W00000X
Licensed Practical Nurse
Primary
LP70057418
WA
Other
Enumeration date
04/08/2026
Last updated
08/03/2026
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