Organization
SOUTH SOUND RADIOLOGISTS INC P S
Active
Other names
South Sound Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HAO SHEN MD (AUTHORIZED OFFICIAL)
(425) 563-1500
Entity
Organization
Contact information
Practice address
3417 ENSIGN RD NE, OLYMPIA, WA 98506-5064
(360) 493-4600
(360) 493-4603
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034600
L & I
WA
05
—
1046150
—
WA
05
—
7871908
—
WA
Enumeration date
10/03/2006
Last updated
01/17/2022
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