Provider Demographics
NPI:1881194470
Name:OKAMOTO, RAMONA MORIKO NIKO
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:MORIKO NIKO
Last Name:OKAMOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8428 SEWARD PARK AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4740
Mailing Address - Country:US
Mailing Address - Phone:206-760-3923
Mailing Address - Fax:206-258-8844
Practice Address - Street 1:8428 SEWARD PARK AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-4740
Practice Address - Country:US
Practice Address - Phone:206-760-3923
Practice Address - Fax:206-258-8844
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVB60805716183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAVB60805716OtherPHARMACY ASSISTANT