Healthcare Provider Details

I. General information

NPI: 1821902909
Provider Name (Legal Business Name): SOOMIN SEO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 11TH ST
BELLINGHAM WA
98225-6670
US

IV. Provider business mailing address

8641 GOLDEN VALLEY DR
MAPLE FALLS WA
98266-8206
US

V. Phone/Fax

Practice location:
  • Phone: 253-285-8673
  • Fax:
Mailing address:
  • Phone: 253-285-8673
  • Fax: 253-785-9945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: