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Alisa Koyama

NPI 1588340608 · on the registry since 2023

Practice

Address
17701 11th Ave Ne
Shoreline, WA 98155
Phone
(415) 310-1461

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
WA, OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-23

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