Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0101102523 | VA |
Y | 207Q00000X | Family Doctor | MD60884572 | WA |
N | 207QS0010X | Family Doctor - Sports Medicine | MD60884572 | WA |
NPI | 1295711877 |
---|---|
Provider Name | Dr. Robert C. Oh |
First Address | Seattle, WA 98108-1532 |
Second Address | Seattle, WA 98108-1532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 07/01/2022 |