Healthcare Provider Details

I. General information

NPI: 1861327975
Provider Name (Legal Business Name): SOON RAN JANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4319 131ST ST SE
EVERETT WA
98208-9642
US

IV. Provider business mailing address

4319 131ST ST SE
EVERETT WA
98208-9642
US

V. Phone/Fax

Practice location:
  • Phone: 206-476-6902
  • Fax:
Mailing address:
  • Phone: 206-476-6902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: