Healthcare Provider Details
I. General information
NPI: 1275494460
Provider Name (Legal Business Name): SABRINA LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18410 68TH AVE W
LYNNWOOD WA
98037-4131
US
IV. Provider business mailing address
18410 68TH AVE W
LYNNWOOD WA
98037-4131
US
V. Phone/Fax
- Phone: 425-622-8488
- Fax:
- Phone: 425-622-8488
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: