Healthcare Provider Details

I. General information

NPI: 1831654284
Provider Name (Legal Business Name): DORIS HUANG RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2019
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 8TH AVE S
SEATTLE WA
98104-3032
US

IV. Provider business mailing address

4240 122ND AVE SE
BELLEVUE WA
98006-1916
US

V. Phone/Fax

Practice location:
  • Phone: 206-788-3700
  • Fax:
Mailing address:
  • Phone: 425-533-6737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86036542
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: