Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | PS00000047 | WA |
NPI | 1225187024 |
---|---|
Provider Name | Ms. Ramona M. Okumura |
First Address | Seattle, WA 98125-7936 |
Second Address | Seattle, WA 98109-5546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CP 1506 | ABC CERTIFICATION (01) | WA |
PS00000047 | STATE LICENSE PROSTHETIST (01) | WA |