| Dr Jason Dukmin Soh, MD | |
|
12800 Bothell Everett Hwy, Everett, WA 98208-6642 | |
| (425) 316-5160 | |
| (425) 225-1005 |
| Full Name | Dr Jason Dukmin Soh |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 12800 Bothell Everett Hwy, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689092264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD61121460 (Washington) | Primary |
| 208000000X | Pediatrics | MD182163 (Oregon) | Secondary |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Dukmin Soh, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Dr Jason Dukmin Soh, MD 12800 Bothell Everett Hwy, Everett, WA 98208-6642 Ph: (425) 316-5160 |
Sandra Liu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Dr. Leah E Hastings, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3300 Fax: 425-357-3317 | |
Dr. Amy Wang Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1424 Broadway, Everett, WA 98201 Phone: 425-789-2000 Fax: 425-789-2096 | |
Ashaini Kadakia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515 | |
David Luba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3302 | |
Judith H. Kuo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208 Phone: 425-316-5160 Fax: 425-316-5163 | |
Dr. Ruth Ann Parish, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1424 Broadway, Everett, WA 98201 Phone: 425-789-2000 Fax: 425-789-2096 |