Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | MD00027368 | WA |
Y | 207RX0202X | Medical Oncology | MD00027368 | WA |
NPI | 1063480564 |
---|---|
Provider Name | Dr. David Dong |
First Address | Issaquah, WA 98029-6201 |
Second Address | Issaquah, WA 98029-6201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8135287 | (05) | WA |