Healthcare Provider Details

I. General information

NPI: 1619264009
Provider Name (Legal Business Name): CATHERINE J YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3726 BROADWAY STE 201
EVERETT WA
98201-3788
US

IV. Provider business mailing address

3726 BROADWAY STE 201
EVERETT WA
98201-3788
US

V. Phone/Fax

Practice location:
  • Phone: 425-317-9119
  • Fax: 425-317-9118
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD60676970
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: