Healthcare Provider Details

I. General information

NPI: 1396016820
Provider Name (Legal Business Name): YINHSU LIU ND, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13401 BEL RED RD STE A12
BELLEVUE WA
98005-2322
US

IV. Provider business mailing address

6270 BOOTH ST
REGO PARK NY
11374-1562
US

V. Phone/Fax

Practice location:
  • Phone: 425-392-8881
  • Fax: 425-633-2166
Mailing address:
  • Phone: 424-256-5598
  • Fax: 425-633-2166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-566
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60477919
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number922116
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: