Healthcare Provider Details

I. General information

NPI: 1851666929
Provider Name (Legal Business Name): HERBIE YUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 116TH AVE NE STE 510
BELLEVUE WA
98004-4630
US

IV. Provider business mailing address

1740 NW MAPLE ST STE 111
ISSAQUAH WA
98027-8127
US

V. Phone/Fax

Practice location:
  • Phone: 425-394-1200
  • Fax: 425-394-0100
Mailing address:
  • Phone: 425-394-1200
  • Fax: 425-394-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD60739934
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA139808
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: