Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Soraya Chanyasubkit

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053841973

Soraya Chanyasubkit is a Family Practice in Edmonds, Washington. Graduated from University of Maryland School of Medicine in 2017, 9 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Washington.

Years since qualifying
9
Trained at
University of Maryland School of Medicine
Licensed in
PA, WA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

7315 212th St SW Ste 101
Edmonds, WA 98026-7610
Phone: (425) 775-9474
Fax: (425) 670-3554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61077294 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT213466 (PA)

Record details

NPI number1053841973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address7315 212th St Sw Ste 101, Edmonds, WA 98026-7610

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Edmonds