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ROUSSELL WONG SUDP-T
NPI 1366023541
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 19, 2021
113 23RD AVE S, SEATTLE, WA 98144(206) 219-5980 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2021, Apr 27, 2021, Apr 19, 2021 (3 updates tracked since 2021).

About Roussell Wong Sudp-t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROUSSELL WONG SUDP-T (NPI 1366023541) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1366023541
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROUSSELL WONGCredential: SUDP-T
Location Address113 23RD AVE SSeattle, WA 98144-2309
Mailing Address113 23rd Ave SSeattle, WA 98144-2309 · (206) 822-8066
Phone(206) 219-5980
Sole ProprietorYes
Enumeration DateApril 19, 2021
Last NPPES UpdateMay 10, 20213 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1366023541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
113 23RD AVE S, Seattle, WA 98144
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER BACH
Student in an Organized Health Care Education/Training Program
113 23RD AVE S
SEATTLE, WA 98144
King County (206) 219-5981
ASHLEY ERIN SMITH
Student in an Organized Health Care Education/Training Program
113 23RD AVE S
SEATTLE, WA 98144
King County (206) 219-5980
KAYLA MARIE CLARK
Student in an Organized Health Care Education/Training Program
113 23RD AVE S
SEATTLE, WA 98144
King County (206) 219-5980
TARYN SAVORY
Student in an Organized Health Care Education/Training Program
113 23RD AVE S
SEATTLE, WA 98144
King County (206) 219-5980
MR. TYRONE POWELL SUDP
Counselor (Addiction (Substance Use Disorder))
113 23RD AVE S
SEATTLE, WA 98144
King County (206) 219-5986
AXEL DANIE GALLARDO SUDPT
Counselor (Addiction (Substance Use Disorder))
113 23RD AVE S
SEATTLE, WA 98144
King County (206) 709-1777
MS. MARY ANGELA BLAIR SUDP
Counselor (Addiction (Substance Use Disorder))
113 23RD AVE S
SEATTLE, WA 98144
King County (062) 195-9802
JESSICA ANN PIERCE SUDP-T
Student in an Organized Health Care Education/Training Program
113 23RD AVE S
SEATTLE, WA 98144
King County (206) 219-8950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roussell Wong's NPI number?

The NPI number for Roussell Wong is 1366023541. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Roussell Wong located?

Roussell Wong practices at 113 23rd Ave S, Seattle, WA 98144. The listed phone number is (206) 219-5980.

What is Roussell Wong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Roussell Wong was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.