Soo Ryun Ahn, MD
Family Medicine in Raymond, WA. Individual provider (NPI-1).
NPI number1356802433
StatusActive
Last updated in NPPESAug 25, 2022
Details
- NPI
- 1356802433
- Entity type
- Individual (NPI-1)
- Name
- Soo Ryun Ahn
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2019
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD61332660 | WA | Yes |
Practice location
300 Ocean AveRaymond, WA 98577-3016
Phone 360-942-3040 · Fax 360-942-3955
Mailing address
2690 Ne Kresky AveChehalis, WA 98532-2412
Phone 360-330-9595 · Fax 360-330-9560
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