Provider Demographics
NPI:1750356101
Name:QUEK, SWEE-HWA V (MD)
Entity type:Individual
Prefix:
First Name:SWEE-HWA
Middle Name:V
Last Name:QUEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1115 SE 164TH AVE DEPT 358
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8004
Mailing Address - Country:US
Mailing Address - Phone:360-855-1411
Mailing Address - Fax:360-855-1933
Practice Address - Street 1:830 BALL ST
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-2008
Practice Address - Country:US
Practice Address - Phone:360-855-1411
Practice Address - Fax:360-855-1933
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60083554207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8546764Medicaid
WAG8889431Medicare PIN
WA8546764Medicaid