Healthcare Provider Details

I. General information

NPI: 1376340174
Provider Name (Legal Business Name): DENISE A HOTCHKISS-YUSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3924 204TH ST SW
LYNNWOOD WA
98036-6863
US

IV. Provider business mailing address

12404 19TH AVE SE
EVERETT WA
98208-6613
US

V. Phone/Fax

Practice location:
  • Phone: 206-362-7282
  • Fax:
Mailing address:
  • Phone: 206-714-2052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: