Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | G57134 | CA |
Y | 207VX0201X | Gynecologic Oncologist | MD00042256 | WA |
NPI | 1184714032 |
---|---|
Provider Name | Ron Edward Swensen |
First Address | Seattle, WA 98124-1876 |
Second Address | Renton, WA 98055-5772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 14/08/2013 |