Healthcare Provider Details

I. General information

NPI: 1023347069
Provider Name (Legal Business Name): MICHELLE HYEYOUNG YOO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2009
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 E NORTH BEND WAY
NORTH BEND WA
98045-8270
US

IV. Provider business mailing address

460 E NORTH BEND WAY
NORTH BEND WA
98045-8270
US

V. Phone/Fax

Practice location:
  • Phone: 425-888-2357
  • Fax: 425-831-1953
Mailing address:
  • Phone: 425-888-2357
  • Fax: 425-831-1953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60096387
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: