Individual provider · Type 1 NPI

Roussell Wong, SUDP-T

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1366023541 Active

Practice location

113 23rd Ave S
Seattle, WA 98144-2309

Call (206) 219-5980 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366023541

Roussell Wong, SUDP-T's National Provider Identifier is 1366023541, issued on Apr 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on May 10, 2021.