Basic Information
Provider Information
NPI: 1790833408
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: UNGER
FirstName: TRISHA
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 34876
Address2:  
City: SEATTLE
State: WA
PostalCode: 981241876
CountryCode: US
TelephoneNumber: 4256565412
FaxNumber: 4256564096
Practice Location
Address1: 4033 TALBOT RD S STE 530
Address2:  
City: RENTON
State: WA
PostalCode: 980555700
CountryCode: US
TelephoneNumber: 4256565430
FaxNumber: 4256565388
Other Information
ProviderEnumerationDate: 01/08/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD00041505WAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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