Healthcare Provider Details

I. General information

NPI: 1053934893
Provider Name (Legal Business Name): YOSEF HAILU WOGER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW RICHMOND BEACH RD
SHORELINE WA
98177-3122
US

IV. Provider business mailing address

600 NW RICHMOND BEACH RD
SHORELINE WA
98177-3122
US

V. Phone/Fax

Practice location:
  • Phone: 206-542-5469
  • Fax: 206-546-1387
Mailing address:
  • Phone: 206-542-5469
  • Fax: 206-546-1387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH61053397
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: