ROUSSELL WONG
Student in an Organized Health Care Education/Training Program

Address: 113 23rd Ave S, Seattle, WA 98144-2309

ROUSSELL WONG (NPI# 1366023541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366023541
Entity Type Individual
Full Name ROUSSELL WONG
Gender Male
Credential SUDP-T
Practice Address 113 23rd Ave S
Seattle
WA 98144-2309
Practice Telephone 2062195980
Mailing Address 113 23rd Ave S
Seattle
WA 98144-2309
Mailing Telephone 2068228066
Certification Date 2021-05-10
Enumeration Date 2021-04-19
Last Update Date 2021-05-10
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 113 23RD AVE S
City SEATTLE
State WA
Zip Code 98144-2309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427634385 Jessica Ann Pierce Student in an Organized Health Care Education/Training Program 113 23rd Ave S, Seattle, WA 98144-2309 2021-03-22
1811573793 Joshua Stephen Sweet Counselor - Addiction (Substance Use Disorder) 113 23rd Ave S, Seattle, WA 98144-2309 2021-03-22
1902415862 Ellique L.k. Satchell Counselor 113 23rd Ave S, Seattle, WA 98144-2309 2020-07-27
1972065134 Kelsey Turner Counselor - Addiction (Substance Use Disorder) 113 23rd Ave S, Seattle, WA 98144-2309 2019-04-04
1780224360 Carol Annette Leak Counselor - Addiction (Substance Use Disorder) 113 23rd Ave S, Seattle, WA 98144-2309 2020-01-10
1881062362 Sea-Mar Community Health Center Substance Abuse Rehabilitation Facility 113 23rd Ave S, Seattle, WA 98144-2309 2015-09-14

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1609305960 Nguyen Tran Counselor - Mental Health 3639 Martin Luther King Junior Way S, Seattle, WA 98144 2017-06-08
1598285470 Dipa Gautam Acharya · Dipa Gautam Acharya I Counselor 3639 Mlik Jr.way S, Seattle, WA 98144 2017-06-22
1922571587 Cristina Wirkala Registered Nurse Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 2019-01-07
1699205922 Anh An Counselor 3639 Martin Luther King Jr S., Seattle, WA 98144 2017-06-19
1225515620 Hhoangdoc LLC Clinic/Center - Health Service 2120 Rainier Ave S #b, Seattle, WA 98144 2018-07-27
1356831556 Samantha Fonteyne-Crescioni Doula 2915 Rainier Ave S Apt 209, Seattle, WA 98144 2018-05-14
1558975235 Miranda Plummer Counselor 2122 S Jackson Street, Seattle, WA 98144 2020-09-01
1891337457 Alyson Paris Counselor 2100 24th Ave S, Suite 260, Seattle, WA 98144 2019-10-15
1952823510 Justin Elliott Talkish Student in an Organized Health Care Education/Training Program 2103 S. Atlantic Street, Seattle, WA 98144 2017-07-14
1134693856 Kimo Martin Peer Specialist 1600 Lane St, Seattle, WA 98144 2019-01-15
Find all in zip 98144

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164005856 My-Linh Trinh Nguyen Student in an Organized Health Care Education/Training Program 820 Yesler Way Unit 804, Seattle, WA 98104-5103 2021-04-30
1992387294 Adiya Jaffari Student in an Organized Health Care Education/Training Program Health Sciences Building, Seattle, WA 98195-0001 2021-04-26
1679155832 Luke Otto Brandenberger Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street Box 356421, Seattle, WA 98195-0001 2021-04-26
1669054276 Jonathan Avery Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street Box: 356421, Seattle, WA 98195-6421 2021-04-22
1891376984 Ryan Tatsuo Heu-Fai Yanagihara Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St Box : 356421, Seattle, WA 98195-0001 2021-04-20
1013598184 Michael Measom Student in an Organized Health Care Education/Training Program Main Hospital 1959 Ne Pacific St 2nd Floor, Seattle, WA 98195-0001 2021-04-19
1700467156 Erik Risa Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St., Box #356410, Seattle, WA 98195 2021-04-17
1134700941 Stanley Joseph Moore Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St # A300, Seattle, WA 98195-0001 2021-04-14
1649851452 Kelly Stewart Student in an Organized Health Care Education/Training Program 1606 S Grand St, Seattle, WA 98144-4300 2021-04-14
1285214221 Brian Matthew Waller Student in an Organized Health Care Education/Training Program 6200 13th Ave S Fl 1, Seattle, WA 98108-2706 2021-04-13
Find all providers in SEATTLE

Competitor

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City SEATTLE
Zip Code 98144

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.