Healthcare Provider Details

I. General information

NPI: 1639122807
Provider Name (Legal Business Name): STEVEN YIP DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 SW DASH POINT ROAD
FEDERAL WAY WA
98023
US

IV. Provider business mailing address

1612 SW DASH POINT ROAD
FEDERAL WAY WA
98023
US

V. Phone/Fax

Practice location:
  • Phone: 253-835-5678
  • Fax: 253-835-7342
Mailing address:
  • Phone: 253-835-5678
  • Fax: 253-835-7342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00003036
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: