MEDICARE: VICTOR OCHIENG RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN61450212	WA

General Provider Information

NPI Number	:	1598615353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR OCHIENG RN

Provider Business Mailing Address
First Line	:	31224 PETE VON REICHBAUER WAY S APT D101
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-5493
Country	:	US
Telephone Number	:	253-733-6614
Fax Number	:

Provider Business Practice Location Address
First Line	:	31224 PETE VON REICHBAUER WAY S APT D101
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-5493
Country	:	US
Telephone Number	:	253-733-6614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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