Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A95149 | CA |
N | 208600000X | Surgeon | A95149 | CA |
Y | 2086X0206X | Surgical Oncologist | MD60021591 | WA |
NPI | 1093892689 |
---|---|
Provider Name | Dr. Perry A Soriano |
First Address | Everett, WA 98206-5127 |
Second Address | Everett, WA 98201-1684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 15/03/2013 |