Individual ProviderVictor WongInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1321 Colby Ave, Everett, WA 98201-1665(254) 261-2000(425) 258-3900PECOS EnrollmentBased on the most recent information from CMS, provider Victor Wong is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1780173575Provider TypeIndividualFull NameWong, VictorGenderMaleSole ProprietorYesEnumeration Date5/7/2018Last Updated8/31/2021Contact InformationPractice LocationPractice Address1321 Colby Ave, Everett, WA 98201-1665Phone(254) 261-2000Fax(713) 500-6497Mailing LocationMailing AddressPO Box 5127, Everett, WA 98206-5127Phone(425) 258-3900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD61116477WashingtonCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseMD61116477Washington