Healthcare Provider Details

I. General information

NPI: 1437367257
Provider Name (Legal Business Name): PIN Y YAU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 E MARGINAL WAY S
SEATTLE WA
98134-2388
US

IV. Provider business mailing address

PO BOX 5624
KENT WA
98064-5624
US

V. Phone/Fax

Practice location:
  • Phone: 206-766-6400
  • Fax:
Mailing address:
  • Phone: 206-766-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number00011539
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: