Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD 60107020 | WA |
N | 208600000X | Surgeon | MD 60107020 | WA |
N | 2082S0105X | Plastic Hand Surgeon | MD 60107020 | WA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD60107020 | WA |
NPI | 1699906164 |
---|---|
Provider Name | Raymond Tse |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2009 |
Last Update Date | 26/06/2017 |