Provider Demographics
NPI:1457082745
Name:ONCHONGA, DAMARIS MOSIGISI (RN,BSN)
Entity Type:Individual
Prefix:
First Name:DAMARIS
Middle Name:MOSIGISI
Last Name:ONCHONGA
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510 127TH PL SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-5223
Mailing Address - Country:US
Mailing Address - Phone:206-432-0373
Mailing Address - Fax:425-379-0751
Practice Address - Street 1:5510 127TH PL SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-5223
Practice Address - Country:US
Practice Address - Phone:206-432-0373
Practice Address - Fax:425-379-0751
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-18
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA755633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse