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Contact Information

JACQUELINE M WONG, MD
914 S SCHEUBER RD
CENTRALIA, WA98531
 Phone: 360-330-8516
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JACQUELINE M WONG · (Female)

NPI Number 1083041701
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2013
Last updated 04/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60789589
Hospital affiliation(s)
  • PEACEHEALTH ST JOSEPH MEDICAL CENTER - (Acute Care)
    2901 SQUALICUM PARKWAY
    BELLINGHAM, WA 98225
  • PROVIDENCE CENTRALIA HOSPITAL - (Acute Care)
    914 S SCHEUBER ROAD
    CENTRALIA, WA 98531
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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