Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60680840 | WA |
N | 111NI0900X | Internist | MD60680840 | WA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60680840 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD60680840 | WA |
N | 207RI0011X | Interventional Cardiology | MD60680840 | WA |
NPI | 1427082593 |
---|---|
Provider Name | Mr. Rex C Liu |
First Address | Vancouver, WA 98683-8004 |
Second Address | Bellingham, WA 98225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 25/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2074108 | (05) | WA |
H19853 | (02) |