Healthcare Provider Details

I. General information

NPI: 1497328587
Provider Name (Legal Business Name): SUHYEON IN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 11/27/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 STONE WAY N STE 300
SEATTLE WA
98103-8099
US

IV. Provider business mailing address

4010 STONE WAY N STE 300
SEATTLE WA
98103-8099
US

V. Phone/Fax

Practice location:
  • Phone: 206-495-6318
  • Fax: 800-878-6417
Mailing address:
  • Phone: 206-495-6318
  • Fax: 800-878-6417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License NumberNT61204722
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberNT61204722
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: