MEDICARE: JOY T YU ND INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	1142	WA

General Provider Information

NPI Number	:	1154657476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY T YU ND INC

Provider Business Mailing Address
First Line	:	1540 140TH AVE NE STE 101
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4579
Country	:	US
Telephone Number	:	425-644-6048
Fax Number	:	425-641-2721

Provider Business Practice Location Address
First Line	:	1540 140TH AVE NE STE 101
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4579
Country	:	US
Telephone Number	:	425-644-6048
Fax Number	:	425-641-2721

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOY YU
Credential	:
Telephone Number	:	425-644-6048

Provider Enumeration Date	:	10/21/2009
Last Update Date	:	10/21/2009

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