Provider Demographics
NPI:1730599572
Name:OBUSE, FUMI (DO)
Entity type:Individual
Prefix:DR
First Name:FUMI
Middle Name:
Last Name:OBUSE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:FUMIKO
Other - Middle Name:
Other - Last Name:NAUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:10612 NE 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21600 HIGHWAY 99 STE 240
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-5139
Practice Address - Country:US
Practice Address - Phone:425-673-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60639445207Q00000X, 207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine