=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275437394
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY SO RN,BSN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2026
-----------------------------------------------------
Last Update Date | 10/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 S 43RD ST
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98055-5714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-690-1000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4809 PARKER RD E
-----------------------------------------------------
City | SUMNER
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98390-2825
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-941-3693
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------