Healthcare Provider Details

I. General information

NPI: 1972418564
Provider Name (Legal Business Name): YIHENG WU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YIHENG WU

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6324 158TH CT NE
REDMOND WA
98052-4808
US

IV. Provider business mailing address

6324 158TH CT NE
REDMOND WA
98052-4808
US

V. Phone/Fax

Practice location:
  • Phone: 206-769-4990
  • Fax:
Mailing address:
  • Phone: 20-676-9499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: