Healthcare Provider Details

I. General information

NPI: 1215977897
Provider Name (Legal Business Name): ANDREW S SOHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 06/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84225 HOYT AVE STE C
EVERETT WA
98203
US

IV. Provider business mailing address

4225 HOYT AVE STE C
EVERETT WA
98203
US

V. Phone/Fax

Practice location:
  • Phone: 425-252-8375
  • Fax: 425-252-8364
Mailing address:
  • Phone: 425-252-8375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD00036192
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: