Healthcare Provider Details

I. General information

NPI: 1144692161
Provider Name (Legal Business Name): YING CHI YANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MYO MIN TUN MD

II. Dates (important events)

Enumeration Date: 10/29/2015
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LILLY RD NE STE 100
OLYMPIA WA
98506-5195
US

IV. Provider business mailing address

500 LILLY RD NE STE 100
OLYMPIA WA
98506-5195
US

V. Phone/Fax

Practice location:
  • Phone: 360-413-8525
  • Fax: 360-412-6477
Mailing address:
  • Phone: 360-413-8525
  • Fax: 360-412-6477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD70016472
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: