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NPI Code Detail

MEDICARE: JEFFREY HU WONG ND, LAC, RN

MEDICARE: JEFFREY HU WONG ND, LAC, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath
2163W00000XRegistered NurseRN61595692WA
3171100000XAcupuncturist

General Provider Information

NPI Number : 1922619139
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY HU WONG ND, LAC, RN
Provider Business Mailing Address
First Line : 710 MONROE AVE NE
Second Line :
City : RENTON
State : WA
Zip : 98056-3861
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4400 37TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1609
Country : US
Telephone Number : 206-461-6957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2020
Last Update Date : 03/12/2026

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