Healthcare Provider Details

I. General information

NPI: 1023704244
Provider Name (Legal Business Name): CHRISTOPHER JIA-WEI YANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19200 N KELSEY ST
MONROE WA
98272-1431
US

IV. Provider business mailing address

19200 N KELSEY ST
MONROE WA
98272-1431
US

V. Phone/Fax

Practice location:
  • Phone: 360-794-7994
  • Fax: 425-259-8600
Mailing address:
  • Phone: 360-794-7994
  • Fax: 425-259-8600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1023704244
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: