Search › Washington › 363LF0000X
Suah Park
NPI 1316563091 · on the registry since 2020
Practice
- Address
- 8725 S Tacoma Way
Lakewood, WA 98499 - Phone
- (253) 535-5552
- Organisation at this address
- Bellevue Medical Clinic Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WM0705X
363LF0000X - Licence states on file
- VA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-18
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