Search › Washington › 111N00000X
Young Park, D.C
NPI 1619126281 · on the registry since 2008
Practice
- Address
- 12505 Ne Bel Red Rd
Ste 112
Bellevue, WA 98005 - Phone
- (425) 484-9023
- Fax
- (206) 309-9063
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington