MEDICARE: RAYMOND TONG

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	225X00000X	Occupational Therapist	OT00004539	WA

General Provider Information

NPI Number	:	1861646754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND TONG

Provider Business Mailing Address
First Line	:	323 B NE 51ST STREET
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105
Country	:	US
Telephone Number	:	206-551-9980
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 NE 110TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5761
Country	:	US
Telephone Number	:	206-367-1004
Fax Number	:

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

Provider Enumeration Date	:	11/05/2008
Last Update Date	:	02/17/2014

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Directions to “ RAYMOND TONG ” Practice Location

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