Healthcare Provider Details

I. General information

NPI: 1750574091
Provider Name (Legal Business Name): MUN JYE POI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 GAGE BLVD SUITE 203
RICHLAND WA
99352-8650
US

IV. Provider business mailing address

1100 GOETHALS DR SUITE E
RICHLAND WA
99352-3300
US

V. Phone/Fax

Practice location:
  • Phone: 509-942-3627
  • Fax: 509-942-2268
Mailing address:
  • Phone: 509-942-3095
  • Fax: 509-942-3097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberP1681
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD60578934
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: