Search › Washington › 152W00000X
Charles Srisatayasunton, O.D
NPI 1265784508 · on the registry since 2012 · sole proprietor
Practice
- Address
- 19400 108th Ave Se Ste 202
Kent, WA 98031 - Phone
- (253) 852-2120
- Organisation at this address
- Renton Sports & Spine Pt
Therapy Management Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington