Healthcare Provider Details

I. General information

NPI: 1669829289
Provider Name (Legal Business Name): ROSANNA HOI LAM YEUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 06/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12040 NE 128TH ST # MS -63
KIRKLAND WA
98034
US

IV. Provider business mailing address

PO BOX 34738
SEATTLE WA
98124-1738
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-1860
  • Fax: 425-899-1859
Mailing address:
  • Phone: 425-899-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number60647898
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: