Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD60252648 | WA |
Y | 2081P2900X | Pain Medicine | MD60252648 | WA |
NPI | 1396948956 |
---|---|
Provider Name | Paul A Sueno |
First Address | Seattle, WA 98112-5260 |
Second Address | Seattle, WA 98112-5211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 04/05/2021 |