Healthcare Provider Details

I. General information

NPI: 1699154013
Provider Name (Legal Business Name): ESTER ANNE YANG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESTER ANNE KIM

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 5TH AVE S STE 200
KIRKLAND WA
98033-6736
US

IV. Provider business mailing address

PO BOX 741515
LOS ANGELES CA
90074-1515
US

V. Phone/Fax

Practice location:
  • Phone: 425-814-5100
  • Fax: 425-814-5103
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60742553
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: