Ahn, Soo Ryun
Ahn, Soo Ryun is an individual health care provider with primary practice located at 300 Ocean Ave , Raymond WA 98577-3016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ahn, Soo Ryun can be contacted via phone (360) 942-3040.Contact Information
Primary practice address
300 Ocean Ave
Raymond WA 98577-3016
Phone: (360) 942-3040
Fax: (360) 942-3955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD61332660 | Washington |
Profile Details
| NPI number | 1356802433 |
|---|---|
| LBN Legal business name | Ahn, Soo Ryun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2019 |
| Last updated | Aug 25th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356802433 | NPPES |
| Washington | MEDICAID | 2215614 |
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