Healthcare Provider Details

I. General information

NPI: 1760415251
Provider Name (Legal Business Name): MINDY L. HSUE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18100 NE UNION HILL RD
REDMOND WA
98052-3330
US

IV. Provider business mailing address

18100 NE UNION HILL RD
REDMOND WA
98052-3330
US

V. Phone/Fax

Practice location:
  • Phone: 425-702-8689
  • Fax: 206-320-5191
Mailing address:
  • Phone: 425-702-8689
  • Fax: 206-320-5191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD39837
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: