Healthcare Provider Details

I. General information

NPI: 1417477274
Provider Name (Legal Business Name): YEE LENG ONG LILIENTHAL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YEE ONG NP

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 BENTON ST
OMAK WA
98841-9636
US

IV. Provider business mailing address

445 OKOMA DR, APT 2
OMAK WA
98841
US

V. Phone/Fax

Practice location:
  • Phone: 509-422-7416
  • Fax: 509-422-7712
Mailing address:
  • Phone: 407-798-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201904904NP-PP
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5009609
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9223738
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: