Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD00044089 | WA |
N | 111NI0900X | Internist | MD00044089 | WA |
Y | 207RX0202X | Medical Oncology | MD00044089 | WA |
NPI | 1043390016 |
---|---|
Provider Name | Evan Ya-Wen Yu |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 21/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0232225 | L&I (01) | WA |
1043390016 | (05) | WA |
190030 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8807329 | (02) | WA |
H18809 | (02) |