Healthcare Provider Details

I. General information

NPI: 1134495617
Provider Name (Legal Business Name): HSIN-HSUAN JUO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUDY JUO M.D.

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4245 ROOSEVELT WAY NE
SEATTLE WA
98105-6008
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-3300
  • Fax:
Mailing address:
  • Phone: 206-520-5700
  • Fax: 206-520-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD60546766
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: