Individual
JANET MODAD SOEPRONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2955 80TH AVE SE STE 206, MERCER ISLAND, WA 98040-2975
(509) 724-0212
(206) 257-5085
Mailing address
2955 80TH AVE SE STE 206, MERCER ISLAND, WA 98040-2975
(509) 724-0212
(206) 257-5085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60479280
WA
Other
Enumeration date
05/27/2010
Last updated
05/13/2026
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