Individual
PATTANA WANGARYATTAWANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-2536
(206) 520-0000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
78640
AZ
2085R0202X
Diagnostic Radiology Physician
MD61043686
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831505619
—
WA
Enumeration date
07/01/2014
Last updated
03/25/2026
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