Individual
YONG KI SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 E BROADWAY AVE, MONTESANO, WA 98563-3704
(360) 249-4111
(360) 249-5220
Mailing address
112 E BROADWAY AVE, MONTESANO, WA 98563-3704
(360) 249-4111
(360) 249-5220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032900
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101344
—
WA
Enumeration date
02/09/2006
Last updated
04/03/2024
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