Search › Washington › 122400000X
Tesoro Koso
NPI 1447123120 · on the registry since 2025
Practice
- Address
- 30818 Pacific Hwy S
Federal Way, WA 98003 - Phone
- (253) 217-6850
- Fax
- (253) 839-1505
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122400000X
122400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-27
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