Healthcare Provider Details

I. General information

NPI: 1851362990
Provider Name (Legal Business Name): DAVID M LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 11/14/2025
Certification Date:
Deactivation Date: 07/01/2014
Reactivation Date: 11/14/2025

III. Provider practice location address

631 PAULS RD
POINT ROBERTS WA
98281-8817
US

IV. Provider business mailing address

631 PAULS RD
POINT ROBERTS WA
98281-8817
US

V. Phone/Fax

Practice location:
  • Phone: 509-981-8484
  • Fax:
Mailing address:
  • Phone: 509-981-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberC53437
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberC53437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: